Organization Active NPI

East Valley Adult Day Health Care Center,Inc

  • Adult Day Care Clinic/Center
  • Panorama City, CA
National Provider Identifier
1497969638
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADU70198F Issued in CA
Legal business name
EAST VALLEY ADULT DAY HEALTH CARE CENTER,INC
Practice address
8612 Van Nuys Blvd
Panorama City, CA 91402-2913
Phone
(818) 951-8608
Fax
(818) 951-9547
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Judith Canterbury
Title
Administrator
Phone
(818) 951-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADU70198F CA Primary

Addresses

Primary practice location

8612 Van Nuys Blvd
Panorama City, CA 91402-2913

Mailing address

8612 Van Nuys Blvd
Panorama City, CA 91402-2913
Phone (818) 951-8608

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0984585East Valley Adult Day Health Care Ctr8612 Van Nuys Blvd, Panorama City, CA 91402Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

8612 Van Nuys Blvd
Panorama City, CA 91402
Phone (818) 951-8608

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1497969638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022913",
            "telephone_number": "818-951-8608",
            "fax_number": "818-945-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022913",
            "telephone_number": "818-951-8608",
            "fax_number": "818-951-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY ADULT DAY HEALTH CARE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-951-8608"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADU70198F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.