Adonai Congregate Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADONAI CONGREGATE LIVING, INC.

Practice address

17527 Covello St
Lake Balboa, CA 91406-2320

Phone

(818) 668-5020

Fax

(818) 668-5021

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Syuzanna Mnatsakanyan

Title

Ceo

Phone

(818) 439-0711

Specialties & licenses 1

Addresses

Other names 2

• ADONAI CONGREGATE LIVING INC Doing business as
• ADONAI CONGREGATE LIVING INC. Doing business as

Tax ID family

Adonai Congregate Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adonai Congregate Living, Inc.

  • Skilled Nursing Facility
  • Northridge, CA
  • NPI 1275879652
  NPD tax ID

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1407279367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17527 COVELLO ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062320",
            "telephone_number": "818-668-5020",
            "fax_number": "818-668-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17527 COVELLO ST",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062320",
            "telephone_number": "818-668-5020",
            "fax_number": "818-668-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-439-0711"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADONAI CONGREGATE LIVING INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADONAI CONGREGATE LIVING INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lake Balboa, CA
• Providers in Lake Balboa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.