Wellness Congregated Living Facility

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

WELLNESS CONGREGATED LIVING FACILITY

Practice address

6231 Ethel Ave
Van Nuys, CA 91401-3220

Phone

(818) 782-7276

Fax

(818) 935-6245

NPI assigned

Dec 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruben Avetisyan

Title

Ceo/Coo

Phone

(424) 888-0909

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1023588936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 ETHEL AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914013220",
            "telephone_number": "818-782-7276",
            "fax_number": "818-935-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 ETHEL AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914013220",
            "telephone_number": "818-782-7276",
            "fax_number": "818-935-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CONGREGATED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO/COO",
        "authorized_official_telephone_number": "424-888-0909"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Care Congregate Living Health Facility, Inc
• Well Care Home Health Care Inc
• Well Care Hospice & Palliative Care Inc
• Well Health Medical Clinic Inc
• Lisa Welland
• Wellnest Home Health Inc
• Wellpath Wound Care
• Michelle Lynn Wells, LCSW
• Rachel Mackenzie Wells
• Wellspring Hospice

• Nursing Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.