Hansen Community Care

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

HANSEN COMMUNITY CARE

Practice address

12943 Wingo St
Pacoima, CA 91331-4156

Phone

(818) 203-7779

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Alex Arutunyan

Title

Cfo/Secretary

Phone

(818) 203-7779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G826

Legal name

HANSEN COMMUNITY CARE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 4, 2025

Last certification

Jun 12, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

12943 Wingo St
Pacoima, CA 91331

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1083205439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12943 WINGO ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913314156",
            "telephone_number": "818-203-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12943 WINGO ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913314156",
            "telephone_number": "818-203-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ARUTUNYAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "818-203-7779"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Humberto Guzman, D.D.S.
• Marithza Guzman
• Miguel Angel Guzman
• Sima Hakobyan
• Amber Nicole Hamilton
• Tom Wei Hao, M.S.
• Jose Haro
• Shiva Harounpour
• Lida Mary Haroutunian, FNP-BC
• Marcia E. Harris, L.V.N.

• Intellectual Disabilities Intermediate Care Facility in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.