Soto Villa Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608823 Issued in CA

Legal business name

SOTO VILLA INC.

Practice address

6447 Babcock Ave
North Hollywood, CA 91606-2306

Phone

(818) 821-1126

Fax

(818) 821-1126

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Arsen Beremesh, MHA

Title

President and Ceo

Phone

(323) 422-1480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1194119081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 BABCOCK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062306",
            "telephone_number": "818-821-1126",
            "fax_number": "818-821-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 BABCOCK AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062306",
            "telephone_number": "818-821-1126",
            "fax_number": "818-821-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTO VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BEREMESH",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "323-422-1480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauri Sorensen, AMFT
• Pamela Sorenson, CATC1 #1687631
• Janette Soriano
• Isabella Sos
• Carolina Sosa
• Cynthia Soto
• Diego Soto
• Jennifer Lynn-Mi Sotodeh, M.A., BCBA
• Soul Detox and Recovery
• Soul Source Therapeutic Devices, Inc.

• 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 Mar 27, 2015; 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.