Van Nuys Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VAN NUYS SENIOR LIVING, INC.

Practice address

14822 Cohasset St
Van Nuys, CA 91405-1803

Phone

(818) 731-6635

Fax

(818) 960-0227

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Sargis Ayvazyan

Title

Ceo

Phone

(818) 731-6635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1396428546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12256 RUNNYMEDE ST UNIT 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916057500",
            "telephone_number": "818-731-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14822 COHASSET ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051803",
            "telephone_number": "818-731-6635",
            "fax_number": "818-960-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NUYS SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "AYVAZYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-731-6635"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frida Zoraida Van Rijs, LVN
• Carrie Vanbuskirk
• Andre L Vanderhal, M.D.

• Assisted Living Facility in Van Nuys, CA
• Providers in Van Nuys, 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 Aug 14, 2023; 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.