Lavender Adult Day Health Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LAVENDER ADULT DAY HEALTH CARE LLC

Practice address

609 N Poplar Ave
Montebello, CA 90640-3558

Phone

(323) 306-6300

Fax

(323) 306-6302

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Hrag Harboyan

Title

Owner

Phone

(323) 303-7890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1508727801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N POPLAR AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403558",
            "telephone_number": "323-306-6300",
            "fax_number": "323-306-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N POPLAR AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403558",
            "telephone_number": "323-306-6300",
            "fax_number": "323-306-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER ADULT DAY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "HARBOYAN",
        "authorized_official_first_name": "HRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-303-7890"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hae In Lee
• Jungsoo Lee, NURSE PRACTITIONER

• Adult Day Care Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.