Organization Active NPI

Sylmar Board & Care II

  • Assisted Living Facility
  • Sylmar, CA
National Provider Identifier
1114770476
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SYLMAR BOARD & CARE II
Practice address
13102 Fellows Ave
Sylmar, CA 91342
Phone
(818) 665-9631
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Andranik Ter-Nersesian
Title
Ceo
Phone
(818) 665-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

13102 Fellows Ave
Sylmar, CA 91342

Mailing address

13102 Fellows Ave
Sylmar, CA 91342

Other names 1

  • SYLMAR BOARD & CARE II Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1114770476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13102 FELLOWS AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13102 FELLOWS AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-665-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLMAR BOARD & CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "TER-NERSESIAN",
        "authorized_official_first_name": "ANDRANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-665-9631"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYLMAR BOARD & CARE II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.