Active NPI
SKK Heritage, Inc.
- Adult Day Care Clinic/Center
- Van Nuys, CA
National Provider Identifier
1073849980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 060000835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1004502 | Your Day Adult Day Health Care Center | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.