SENIOR LIFESTYLE HOMES (NPI# 1013430255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013430255 |
| Entity Type | Organization |
| Organization Name | SENIOR LIFESTYLE HOMES |
| Practice Address |
15318 Lila Rose Ct Bakersfield CA 93314-5243 |
| Mailing Address |
312 Sonoma Vine Ct Bakersfield CA 93314-4761 |
| Practice Telephone | 6613323491 |
| Practice Fax Number | 6615891785 |
| Mailing Telephone | 6613323491 |
| Mailing Fax Number | 6615891785 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LINDA DARLENE BODEN (PRESIDENT) |
| Authorized Official Telephone | 6613323491 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 157206732 | CA | Nursing & Custodial Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11910 Crockett Ct, Bakersfield, CA 933125710 | 6613323491 | 6615891785 |
| Street Address |
15318 LILA ROSE CT |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93314-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577952 | Stephanie Joy Smith | Specialist/Technologist | 12775 Stockdale Highway, Bakersfield, CA 93314 | 2020-01-10 |
| 1346882545 | Rosa Marie Marquez | Technician | 13057 Thunder Valley Road, Bakersfield, CA 93314 | 2019-10-09 |
| 1942787403 | Shah and Huynh Dental Corporation | Dentist | 1403 Allen Rd Ste 1000, Bakersfield, CA 93314 | 2018-07-26 |
| 1104274364 | Angel Lazaro | Pharmacist | 13819 Palm Avenue, Bakersfield, CA 93314 | 2016-05-28 |
| 1942510532 | Paula Ann Levins | Physical Therapist | 1800 Westwind Drive, 107, Bakersfield, CA 93314 | 2010-10-15 |
| 1669505012 | Kari Lynn George | Pharmacist | 13521 Cascade Ct., Bakersfield, CA 93314 | 2007-03-14 |
| 1063541811 | Jonathan Brian Gage | Psychologist | 10319 Stoneham St, Bakersfield, CA 93314 | 2007-03-05 |
| 1134175136 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 13045 Rosedale Hwy, Bakersfield, CA 93314 | 2006-05-25 |
| 1285245357 | Safeline Group Services | Non-emergency Medical Transport (VAN) | 104 Ritter Ct, Bakersfield, CA 93314-3847 | 2020-08-12 |
| 1326255498 | Loyd's Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 304 Joelyle St, Bakersfield, CA 93314-3872 | 2007-05-17 |
| Find all providers in zip 93314 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849122 | Pacifica Bakersfield Lp | Assisted Living Facility | 3209 Brookside Dr, Bakersfield, CA 93311-3459 | 2020-10-22 |
| 1962034678 | Tina Malhi | Assisted Living Facility | 3801 Paseo Airosa, Bakersfield, CA 93311-2273 | 2020-02-11 |
| 1134750078 | Brenda Daniels | Assisted Living Facility | 5503 Casa Bonita Dr, Bakersfield, CA 93307-6972 | 2020-01-29 |
| 1548826860 | Catherine Tagulao Clark | Assisted Living Facility | 9320 Cobble Mountain Rd, Bakersfield, CA 93313-5373 | 2019-05-13 |
| 1952872533 | Prolan Robles Fandialan | Assisted Living Facility | 9706 Harvey Ct, Bakersfield, CA 93312-2829 | 2018-12-07 |
| 1639667785 | Barbara Zapata | Assisted Living Facility | 10005 Cobblestone Ave, Bakersfield, CA 93311-9396 | 2018-04-24 |
| 1972004331 | Nelsalina Deborah Shabazz | Assisted Living Facility | 2815 Flint Hills Dr, Bakersfield, CA 93313-5742 | 2018-02-21 |
| 1063942647 | Heritage | Assisted Living Facility | 10411 Blythe Ct, Bakersfield, CA 93311-9681 | 2017-06-15 |
| 1639602154 | Tru Vision LLC | Assisted Living Facility | 10615 Polo Glen Dr, Bakersfield, CA 93312-8619 | 2017-04-11 |
| 1598114217 | Sage Care Home, LLC. | Assisted Living Facility | 13519 Night Star Ln, Bakersfield, CA 93314-9891 | 2016-06-03 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93314 |
Please comment or provide details below to improve the information on SENIOR LIFESTYLE HOMES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.