Beverly Glen Congregate, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEVERLY GLEN CONGREGATE, INC.

Practice address

1200 North Beverly Glen Blvd.
Bel Air, CA 90077

Phone

(424) 371-5060

Fax

(424) 371-5060

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Viktoria Michelle Kirakosian

Title

Owner

Phone

(310) 309-0959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1457715179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTH BEVERLY GLEN BLVD.",
            "city": "BEL AIR",
            "state": "CA",
            "postal_code": "90077",
            "telephone_number": "424-371-5060",
            "fax_number": "424-371-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH BEVERLY GLEN BLVD.",
            "city": "BEL AIR",
            "state": "CA",
            "postal_code": "90077",
            "telephone_number": "424-371-5060",
            "fax_number": "424-371-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY GLEN CONGREGATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSIAN",
        "authorized_official_first_name": "VIKTORIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-309-0959"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahin Abrishamchian
• Tina Littlewood-Morse, MA, MFT
• Joanna B Rosoff, PSY.D.

• Skilled Nursing Facility in Bel Air, CA
• Providers in Bel Air, 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 Apr 8, 2016; 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.