Active NPI
Red Heart Inc
- Adult Day Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1457557951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- RED HEART INC
- Practice address
- 5171 Hollywood Blvd
Los Angeles, CA 90027-6113 - Phone
- (323) 953-7722
- Fax
- (323) 953-7721
- NPI assigned
- Jun 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ara Kirakosyan
- Title
- Executive Vice President
- Phone
- (323) 953-7722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
5171 Hollywood Blvd
Los Angeles, CA 90027-6113
Mailing address
5171 Hollywood Blvd
Los Angeles, CA 90027-6113
Phone (323) 953-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70194F | Medicaid | CA |
Other names 1
- Red Heart ADHC
National Provider Directory
National Provider DirectoryLocations
5171 Hollywood Blvd
Los Angeles, CA 90027
Phone (323) 953-7722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457557951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5171 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276113",
"telephone_number": "323-953-7722",
"fax_number": "323-953-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276113",
"telephone_number": "323-953-7722",
"fax_number": "323-953-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED HEART INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIRAKOSYAN",
"authorized_official_first_name": "ARA",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "323-953-7722",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ADU70194F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Heart ADHC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.