Organization Active NPI

Vineland Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1184820524
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
VINELAND ADULT DAY HEALTH CARE CENTER
Practice address
5629 Vineland Ave
North Hollywood, CA 91601-2029
Phone
(818) 753-0714
Fax
(818) 753-0916
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nara Kazarian
Title
Administrator
Phone
(818) 753-0714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

5629 Vineland Ave
North Hollywood, CA 91601-2029

Mailing address

5629 Vineland Ave
North Hollywood, CA 91601-2029
Phone (818) 753-0714

Other identifiers 1

IdentifierTypeStateIssuer
ADU70153FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0984014Vineland Adult Health Center5629 Vineland Avenue, N Hollywood, CA 91601Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

5629 Vineland Ave
North Hollywood, CA 91601
Phone (818) 753-0714

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184820524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 VINELAND AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012029",
            "telephone_number": "818-753-0714",
            "fax_number": "818-753-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5629 VINELAND AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012029",
            "telephone_number": "818-753-0714",
            "fax_number": "818-753-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINELAND ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZARIAN",
        "authorized_official_first_name": "NARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "18187530714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70153F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.