Organization Active NPI

Plaza Residential Enterprises Inc.

  • Assisted Living Facility
  • Van Nuys, CA
National Provider Identifier
1114306685
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197603560 Issued in CA
Legal business name
PLAZA RESIDENTIAL ENTERPRISES INC.
Doing business as
Courtyad Plaza
Practice address
6951 Lennox Ave
Van Nuys, CA 91405-4034
Phone
(818) 780-5005
Fax
(818) 780-5176
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Miss Karolina Fil
Title
Coo
Phone
(818) 780-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197603560 CA Primary

Addresses

Primary practice location

6951 Lennox Ave
Van Nuys, CA 91405-4034

Mailing address

6951 Lennox Ave
Van Nuys, CA 91405-4034
Phone (818) 780-5005

Other names 1

  • Courtyad Plaza Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Courtyad Plaza2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6951 Lennox Ave
Van Nuys, CA 91405
Phone (818) 780-5005

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1114306685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 LENNOX AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054034",
            "telephone_number": "818-780-5005",
            "fax_number": "818-780-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 LENNOX AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054034",
            "telephone_number": "818-780-5005",
            "fax_number": "818-780-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA RESIDENTIAL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "FIL",
        "authorized_official_first_name": "KAROLINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-780-5005",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197603560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyad Plaza",
            "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 May 29, 2015; 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.