Moon Light Boarding Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MOON LIGHT BOARDING CARE INC

Doing business as

MOON LIGHT BOARDING CARE

Practice address

120 N Sierra Bonita Ave
Pasadena, CA 91106-2110

Phone

(818) 661-7333

NPI assigned

May 25, 2024

Organization subpart

No

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

Authorized official

Name

Sako Manvelyan, ADMINISTRATOR

Title

Admin

Phone

(818) 661-7333

Specialties & licenses 1

Addresses

Other names 1

• MOON LIGHT BOARDING CARE Doing business as

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1376383653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N SIERRA BONITA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062110",
            "telephone_number": "818-661-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N SIERRA BONITA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062110",
            "telephone_number": "818-661-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON LIGHT BOARDING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "MANVELYAN",
        "authorized_official_first_name": "SAKO",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "818-661-7333",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOON LIGHT BOARDING CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Belkis Montoya
• Kareli Montoya
• Mary Aileen Montury, MFT
• Jessica Alexandra Monzon, NP
• Gary Lynwood Moody, B.A.
• Eddie Joohyun Moon, DAOM, L.AC.
• Eliot Moon, M.D.
• Helen Heng-Shan Moon, M.D.
• Reanna Moon, R.N.
• Earl Moore-Jeffries, MD

• Assisted Living Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.