Organization Active NPI

Aundrey'S Residential Care, Inc.

  • Adult Care Home Facility
  • Encino, CA
National Provider Identifier
1285830901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AUNDREY'S RESIDENTIAL CARE, INC.
Practice address
5740 Ostrom Ave
Encino, CA 91316-1406
Phone
(818) 758-0196
Fax
(818) 758-0358
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Paulette Moses
Title
Ceo
Phone
(818) 585-7956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X CA Primary

Addresses

Primary practice location

5740 Ostrom Ave
Encino, CA 91316-1406

Mailing address

8335 Winnetka Avenue #626
Winnetka, CA 91306
Phone (818) 585-7956

Other names 1

  • Pvm Propertie, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Aundrey'S Residential Care Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285830901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WINNETKA AVENUE #626",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-585-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 OSTROM AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161406",
            "telephone_number": "818-758-0196",
            "fax_number": "818-758-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUNDREY'S RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-585-7956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pvm Propertie, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.