Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Balboa Congregate Living

Organization Skilled Nursing Facility · NPI 1508246034

Lake Balboa Congregate Living is a Skilled Nursing Facility in Lake Balboa, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

17527 Covello St
Lake Balboa, CA 91406-2320
Phone: (818) 773-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1508246034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gevorgyan — Ceo · (818) 773-0700
NPI enumeratedMay 29, 2015
Last updated in NPPESMay 29, 2015
Mailing address17527 Covello St, Lake Balboa, CA 91406-2320

Other providers in Lake Balboa