Organization Active NPI

Aaa Jerusalem Star, Inc.

  • Assisted Living Facility
  • Woodland Hills, CA
National Provider Identifier
1093310369
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AAA JERUSALEM STAR, INC.
Practice address
5945 Capistrano Ave
Woodland Hills, CA 91367-3346
Phone
(818) 888-1706
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Vardan Ayrapetyan
Title
Ceo
Phone
(818) 888-1706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5945 Capistrano Ave
Woodland Hills, CA 91367-3346

Mailing address

5945 Capistrano Ave
Woodland Hills, CA 91367-3346
Phone (818) 888-1706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1093310369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 CAPISTRANO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673346",
            "telephone_number": "818-888-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 CAPISTRANO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673346",
            "telephone_number": "818-888-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA JERUSALEM STAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "AYRAPETYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-888-1706"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.