Organization Active NPI

Vintage Congregate Living

  • Skilled Nursing Facility
  • Northridge, CA
National Provider Identifier
1194649228
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VINTAGE CONGREGATE LIVING
Practice address
18122 Vintage St
Northridge, CA 91325-1052
Phone
(818) 983-2224
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Hamazasp Khudoyan
Title
President
Phone
(818) 983-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

18122 Vintage St
Northridge, CA 91325-1052

Mailing address

18122 Vintage St
Northridge, CA 91325-1052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1194649228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 VINTAGE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 VINTAGE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251052",
            "telephone_number": "818-983-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "KHUDOYAN",
        "authorized_official_first_name": "HAMAZASP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-983-2224"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.