Organization Active NPI

Age Well Assisted Living, Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1356877914
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGE WELL ASSISTED LIVING, INC
Practice address
15149 Sylvan St
Van Nuys, CA 91411-1918
Phone
(818) 281-0009
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Sarkis Dovlatyan
Title
Ceo
Phone
(310) 775-7264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

15149 Sylvan St
Van Nuys, CA 91411-1918

Mailing address

15149 Sylvan St
Van Nuys, CA 91411-1918
Phone (310) 775-7264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1356877914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15149 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111918",
            "telephone_number": "310-775-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15149 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111918",
            "telephone_number": "818-281-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGE WELL ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "DOVLATYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-775-7264"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.