Adonai Congregate Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550002504 Issued in CA

Legal business name

ADONAI CONGREGATE LIVING, INC.

Practice address

10215 Lasaine Ave
Northridge, CA 91325-1511

Phone

(818) 773-0700

Fax

(818) 773-0701

NPI assigned

Dec 12, 2012

Organization subpart

No

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

Authorized official

Name

Syuzanna Mnatsakanyan

Title

Ceo

Phone

(818) 439-0711

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADONAI CONGREGATE LIVING INC. Doing business as

Tax ID family

Adonai Congregate Living2 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.

• Adonai Congregate Living, Inc.

  • Skilled Nursing Facility
  • Lake Balboa, CA
  • NPI 1407279367
  NPD tax ID

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1275879652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 LASAINE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251511",
            "telephone_number": "818-773-0700",
            "fax_number": "818-773-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 LASAINE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251511",
            "telephone_number": "818-773-0700",
            "fax_number": "818-773-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-439-0711"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550002504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1275879652",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADONAI CONGREGATE LIVING INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norair Adjamian, DO
• Adk Home Health Inc
• Jeffrey Adler
• Katherine Annette Adler, MD
• Peter John Adler, ED.D.
• Mary Shellah Elizabeth Adoremos, PT
• Advance Life Recovery
• Advance Pain Management Group
• Advanced Caregivers Inc
• Advanced Detox and Rehab Center

• Skilled Nursing Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.