Organization Active NPI

Golden Memories Adhc LLC

  • Adult Day Care Clinic/Center
  • Lakewood, CA
National Provider Identifier
1316698954
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GOLDEN MEMORIES ADHC LLC
Practice address
6470 South St
Lakewood, CA 90713-1713
Phone
(818) 747-3777
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Norayr Hovhannisyan
Title
Manager
Phone
(818) 747-3777

Specialties & licenses 1

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

Addresses

Primary practice location

6470 South St
Lakewood, CA 90713-1713

Mailing address

19231 Victory Blvd Ste 200
Reseda, CA 91335-6330
Phone (818) 747-3777

National Provider Directory

National Provider Directory

Locations

6470 South St
Lakewood, CA 90713
Phone (818) 747-3777

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1316698954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356330",
            "telephone_number": "818-747-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131713",
            "telephone_number": "818-747-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEMORIES ADHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "NORAYR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-747-3777"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.