Organization Active NPI

Redwood Adhc Inc

  • Adult Day Care Clinic/Center
  • Sylmar, CA
National Provider Identifier
1265259915
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
REDWOOD ADHC INC
Practice address
15121 Monte St
Sylmar, CA 91342-1348
Phone
(707) 220-2400
Fax
(707) 220-2410
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Varouj Hovannessian, RN
Title
Owner
Phone
(707) 220-2400

Specialties & licenses 1

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

Addresses

Primary practice location

15121 Monte St
Sylmar, CA 91342-1348

Mailing address

15121 Monte St
Sylmar, CA 91342-1348
Phone (707) 220-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1265259915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 MONTE ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421348",
            "telephone_number": "707-220-2400",
            "fax_number": "707-220-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 MONTE ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421348",
            "telephone_number": "707-220-2400",
            "fax_number": "707-220-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD ADHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HOVANNESSIAN",
        "authorized_official_first_name": "VAROUJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-220-2400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.