Organization Active NPI

Medpro Care Inc.

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1184497158
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDPRO CARE INC.
Practice address
6742 Van Nuys Blvd Ste 103
Van Nuys, CA 91405-4611
Phone
(818) 322-8343
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Lily Manukyan
Title
Owner
Phone
(818) 322-8343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6742 Van Nuys Blvd Ste 103
Van Nuys, CA 91405-4611

Mailing address

6742 Van Nuys Blvd Ste 103
Van Nuys, CA 91405-4611

National Provider Directory

National Provider Directory

Locations

6742 Van Nuys Blvd
Ste 103
Van Nuys, CA 91405
Phone (818) 322-8343

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1184497158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 103",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-322-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-322-8343"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 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.