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General NPI Number Information
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NPI Number | 1659222966
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Entity Type | Organization
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Legal Business Name | ANTELOPE VALLEY HEALING CENTER
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1759 WINDERMERE DR
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City | LANCASTER
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State | CA
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Zip | 93534-5319
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Country | US
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Telephone | 661-206-7900
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Fax | 661-209-3750
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Provider Business Mailing Address
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Address Line | 38700 5TH ST W STE G
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City | PALMDALE
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State | CA
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Zip | 93551-3996
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Country | US
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Telephone | 661-206-7900
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Fax | 661-209-3750
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Authorized Official
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Title or Position | CFO
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Name | MR. KENNY ARYA
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Credential |
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Telephone | 661-538-1435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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