Mayane Congregate Living

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYANE CONGREGATE LIVING

Practice address

17227 Simonds St
Granada Hills, CA 91344-3512

Phone

(818) 292-3213

Fax

(844) 673-7586

NPI assigned

Dec 19, 2017

Last updated

Dec 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hrant Hovhanissyan

Title

President

Phone

(818) 292-3213

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1194231605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17227 SIMONDS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443512",
            "telephone_number": "818-292-3213",
            "fax_number": "844-673-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17227 SIMONDS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443512",
            "telephone_number": "818-292-3213",
            "fax_number": "844-673-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYANE CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "HOVHANISSYAN",
        "authorized_official_first_name": "HRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-292-3213"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F. Aquino, DMD Inc.
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• Skilled Nursing Facility in Granada Hills, CA
• Providers in Granada Hills, 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 19, 2017; 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.