Lake Balboa Congregate Living
NPI 1508246034ActiveOrganization· Skilled Nursing Facility· Lake Balboa, CA
Skilled Nursing Facility in Lake Balboa, California, registered in NPPES in May 2015. The authorized official on file is John Gevorgyan, Ceo.
Overview
| NPI | 1508246034 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2015 |
| Last updated in NPPES | May 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Lake Balboa
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