Organization Active NPI

Wellbe Home Inc

Doing business as Friendship Village RCF

  • Assisted Living Facility
  • North Hollywood, CA
National Provider Identifier
1215446109
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197609307 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
195850280OtherCADEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCFE
197609307OtherCADEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCF
197609656OtherCADEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING) RCFE

Other names 2

  • Friendship Village RCF Doing business as
  • Van Noord Manor Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.