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Lake Balboa Congregate Living

Skilled Nursing Facility in Lake Balboa, CA · enumerated 2015 · authorized official John Gevorgyan, Ceo.

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

National Provider Identifier

1508246034

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Balboa Congregate Living
Practice address 17527 Covello St, Lake Balboa, CA, 91406
Enumeration date May 29, 2015
Last updated in NPPES May 29, 2015

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name John Gevorgyan
Title Ceo

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Balboa Congregate Living?
Lake Balboa Congregate Living is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.