Active NPI
Wellbe Home Inc
Doing business as Friendship Village RCF
- Assisted Living Facility
- North Hollywood, CA
National Provider Identifier
1215446109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197609307
- Legal business name
- WELLBE HOME INC
- Doing business as
- Friendship Village RCF
Van Noord Manor - Practice address
- 12950 Haynes St
North Hollywood, CA 91606-1022 - Phone
- (818) 414-0005
- Fax
- (855) 683-8256
- NPI assigned
- Sep 24, 2017
- Last updated
- Dec 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vahe Mkrtchian
- Title
- Administrator
- Phone
- (818) 414-0005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 197609307 | CA | Primary |
| Assisted Living Facility (Mental Illness) | 3104A0625X |
Addresses
Primary practice location
12950 Haynes St
North Hollywood, CA 91606-1022
Mailing address
6325 Beeman Ave
North Hollywood, CA 91606-3122
Other practice location 1
12936 Welby Way
North Hollywood, CA 91606-1038
Phone (818) 414-0005
Other practice location 2
6700 Van Noord Ave
North Hollywood, CA 91606-1105
Phone (818) 414-0005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195850280 | Other | CA | DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCFE |
| 197609307 | Other | CA | DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCF |
| 197609656 | Other | CA | DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING) RCFE |
Other names 2
- Friendship Village RCF
- Van Noord Manor
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1215446109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 BEEMAN AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12950 HAYNES ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061022",
"telephone_number": "818-414-0005",
"fax_number": "855-683-8256"
}
],
"practiceLocations": [
{
"address_1": "12936 Welby Way",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916061038",
"country_code": "US",
"telephone_number": "818-414-0005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6700 Van Noord Ave",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916061105",
"country_code": "US",
"telephone_number": "818-414-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLBE HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-24",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "MKRTCHIAN",
"authorized_official_first_name": "VAHE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-414-0005"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "197609307",
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCFE",
"identifier": "195850280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCF",
"identifier": "197609307",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING) RCFE",
"identifier": "197609656",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Friendship Village RCF",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Van Noord Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Hollywood, CA
- Julie Rebecca-Alpert Weinstein, LCSW
- Thaddeus Welch
- Well Dressed Wigs, Inc.
- Well Health Medical Group Apc
- Well-Being Home Health, Inc.
- Wellcare Medical Transportation,Inc.
- Wellness and Education Group, Inc
- Wellness Hospice Care, Inc.
- Wellness Works Home Health, Inc.
- Wellness Works, Inc. (Wellness Works Health and Rehabilitation Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.