Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Healthy Life Congregate Care

Nursing Facility/Intermediate Care Facility in Simi Valley, CA · enumerated 2016 · authorized official Edmond Derderyan, Ceo.

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

National Provider Identifier

1902268758

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Registry record

Entity type Organization (Type 2)

Legal business name Healthy Life Congregate Care

Practice address 3011 Peoria Ave, Simi Valley, CA, 93063

Phone (805) 955-0057

Fax (805) 728-7454

Enumeration date Mar 22, 2016

Last updated in NPPES Mar 22, 2016

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Edmond Derderyan

Title Ceo

Phone (805) 955-0057

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Healthy Life Congregate Care located?

The practice location on file with NPPES is in Simi Valley, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-03-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-22.