Porter Ranch Congregate Living Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

PORTER RANCH CONGREGATE LIVING INC

Practice address

11142 Chimineas Ave
Porter Ranch, CA 91326-2507

Phone

(818) 233-0970

Fax

(818) 671-1871

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Liliana Cohen, MD

Title

Ceo

Phone

(818) 233-0970

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518327477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11142 CHIMINEAS AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262507",
            "telephone_number": "818-233-0970",
            "fax_number": "818-671-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11142 CHIMINEAS AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262507",
            "telephone_number": "818-233-0970",
            "fax_number": "818-671-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER RANCH CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-233-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Phan, R.PH
• The Tai Phan, DDS, MD
• Ami Thakor Philipp, M.D.
• Anahita Pirnazari
• Kesia Tijuan Pitt, H.I.S.
• Porter Ranch Integrative Medical Clinic, a Professional Corporation
• Porter Ranch Medical Center
• Minu Johnson Pottukalam, FNP-C
• Prime Child and Family Therapy
• Priority Physical Therapy Inc

• Nursing Facility/Intermediate Care Facility in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.