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Leisure Village Inc

Assisted Living Facility in Lake Balboa, CA · enumerated 2016 · authorized official Koke Ahankoob, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366991135

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Registry record

Entity type Organization (Type 2)
Legal business name Leisure Village Inc
Practice address 6728 Gaviota Ave, Lake Balboa, CA, 91406
Fax (818) 387-6445
Enumeration date Sep 22, 2016
Last updated in NPPES Sep 22, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 197607543 (CA) Primary

Authorized official

Name Koke Ahankoob
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Leisure Village Inc?
NPPES lists Koke Ahankoob (President) as the authorized official for this organization.
What is the NPI number for Leisure Village Inc?
The NPI for Leisure Village Inc is 1366991135, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-22.