Organization Active NPI

SKK Heritage, Inc.

  • Adult Day Care Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1073849980
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000835 Issued in CA
Legal business name
SKK HERITAGE, INC.
Practice address
14640 Victory Blvd. #100
Van Nuys, CA 91411-1623
Phone
(818) 781-8777
Fax
(818) 781-8775
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Mr. Jinwoo Kim
Title
Ceo
Phone
(818) 781-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000835 CA Primary

Addresses

Primary practice location

14640 Victory Blvd. #100
Van Nuys, CA 91411-1623

Mailing address

14640 Victory Blvd. #100
Van Nuys, CA 91411-1623
Phone (818) 781-8777

Other names 1

  • Your Day Adult Day Health Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1004502Your Day Adult Day Health Care Center14640 Victory Blvd Ste 100, Van Nuys, CA 91411Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

14640 Victory Blvd
Ste 100
Van Nuys, CA 91411
Phone (818) 781-8777

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1073849980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD. #100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-781-8777",
            "fax_number": "818-781-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD. #100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-781-8777",
            "fax_number": "818-781-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKK HERITAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINWOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-781-8777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Day Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.