Pasadena Congregate Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PASADENA CONGREGATE LIVING, INC.

Practice address

1165 N Summit Ave
Pasadena, CA 91103-2655

Phone

(818) 679-7120

Fax

(747) 227-3614

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Khachatur Saryan, DDS, MS

Title

Ceo

Phone

(818) 631-0770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1154968055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N SUMMIT AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032655",
            "telephone_number": "818-679-7120",
            "fax_number": "747-227-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N SUMMIT AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032655",
            "telephone_number": "818-679-7120",
            "fax_number": "747-227-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "SARYAN",
        "authorized_official_first_name": "KHACHATUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-631-0770",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.