Organization Active NPI

Vanik & Arsen LLC

Doing business as Grand Villa Congregate Living Health Facility

  • Skilled Nursing Facility
  • Clovis, CA
National Provider Identifier
1326595117
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VANIK & ARSEN LLC
Doing business as
Grand Villa Congregate Living Health Facility
Practice address
250 Villa Ave
Clovis, CA 93612-0854
Phone
(559) 273-1706
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Mr. Vanik Pogosyan
Title
Ceo
Phone
(559) 273-1706

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CA
Skilled Nursing Facility 314000000X CA Primary
Physical Disabilities Residential Treatment Facility 320700000X CA

Addresses

Primary practice location

250 Villa Ave
Clovis, CA 93612-0854

Mailing address

2484 E Gettysburg Ave
Fresno, CA 93726-0322

Other names 1

  • Grand Villa Congregate Living Health Facility Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2145223Grand Villa Congregate Living Health Facility250 Villa Ave, Clovis, CA 93612Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

2484 E Gettysburg Ave
Fresno, CA 93726
Phone (559) 222-6276

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1326595117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 E GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 VILLA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120854",
            "telephone_number": "559-273-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANIK & ARSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "POGOSYAN",
        "authorized_official_first_name": "VANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-273-1706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Villa Congregate Living Health Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Villa Congregate Living Health Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.