Northridge Villa for Elderly Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NORTHRIDGE VILLA FOR ELDERLY INC.

Practice address

8419 Yolanda Ave
Northridge, CA 91324-4753

Phone

(818) 812-9599

Fax

(818) 671-4705

NPI assigned

May 21, 2020

Last updated

May 21, 2020By 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

Mrs. Ronika Wijerathna, RCP

Title

Ceo/Administrator

Phone

(661) 526-9670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1457974685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 CAROLINA CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826871",
            "telephone_number": "661-526-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 YOLANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244753",
            "telephone_number": "818-812-9599",
            "fax_number": "818-671-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE VILLA FOR ELDERLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "WIJERATHNA",
        "authorized_official_first_name": "RONIKA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "661-526-9670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Northridge, CA
• Providers in Northridge, 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 21, 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.

Verify at the official NPI Registry.