Organization Active NPI

Sky Light Residential Care

  • Assisted Living Facility
  • Chatsworth, CA
National Provider Identifier
1235898727
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SKY LIGHT RESIDENTIAL CARE
Practice address
19856 Mayall St
Chatsworth, CA 91311-3521
Phone
(142) 433-5522
NPI assigned
Dec 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Mrs. Maro Podrumyan
Title
Ceo/Administrator
Phone
(424) 335-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

19856 Mayall St
Chatsworth, CA 91311-3521

Mailing address

19856 Mayall St
Chatsworth, CA 91311-3521
Phone (142) 433-5522

Other names 1

  • Sky Light Residential Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1235898727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19856 MAYALL ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113521",
            "telephone_number": "142-433-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19856 MAYALL ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113521",
            "telephone_number": "142-433-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY LIGHT RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-11",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PODRUMYAN",
        "authorized_official_first_name": "MARO",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "424-335-5222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky Light Residential Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.