Active NPI
Golden Memories Adhc LLC
- Adult Day Care Clinic/Center
- Lakewood, CA
National Provider Identifier
1316698954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.