Vistamesa Congregate Home, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

VISTAMESA CONGREGATE HOME, INC.

Practice address

12806 Arminta St
North Hollywood, CA 91605-2018

Phone

(818) 453-4131

NPI assigned

Feb 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Movses Juharyan

Title

Administrator

Phone

(818) 453-4131

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1316571979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12806 ARMINTA ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052018",
            "telephone_number": "818-453-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12806 ARMINTA ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052018",
            "telephone_number": "818-453-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTAMESA CONGREGATE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "JUHARYAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-453-4131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.