NPIMap

Organization Active NPI

Buena Vida Adhc, LLC

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1215114517
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BUENA VIDA ADHC, LLC
Practice address
1617 Beverly Blvd
Los Angeles, CA 90026-5710
Phone
(213) 250-9191
Fax
(213) 250-9595
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Behkam Nikaein
Title
Ceo
Phone
(213) 250-9191

Specialties & licenses 1

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

Addresses

Primary practice location

1617 Beverly Blvd
Los Angeles, CA 90026-5710

Mailing address

1617 Beverly Blvd
Los Angeles, CA 90026-5710
Phone (213) 250-9191

Other names 1

  • GOOD LIFE ADULT DAY HEALTH CARE CENTER Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Buena Vida Adhc LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1215114517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-9191",
            "fax_number": "213-250-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265710",
            "telephone_number": "213-250-9191",
            "fax_number": "213-250-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA ADHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "NIKAEIN",
        "authorized_official_first_name": "BEHKAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-250-9191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD LIFE ADULT DAY HEALTH CARE CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.