Prestige Residential Care Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRESTIGE RESIDENTIAL CARE FACILITY

Practice address

6019 Willowcrest Ave
North Hollywood, CA 91606-5027

Phone

(818) 429-9809

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Nelli Sadoyan

Title

Ceo

Phone

(818) 429-9809

Specialties & licenses 1

Addresses

Other names 1

• Prestige Residential Care Facility Doing business as

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1114779808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 WILLOWCREST AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065027",
            "telephone_number": "818-429-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WILLOWCREST AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065027",
            "telephone_number": "818-429-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SADOYAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-429-9809"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.