PNN Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PNN CORPORATION

Practice address

14315 Valerio St
Van Nuys, CA 91405-1455

Phone

(818) 989-1073

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Flory Morales

Title

Administrator

Phone

(818) 442-2571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1063002392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 W SAMMY LN",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252359",
            "telephone_number": "818-442-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051455",
            "telephone_number": "818-989-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "FLORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-442-2571"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.