Organization Active NPI

Majesticare Health and Rehab Center of Northridge

  • Nursing Facility/Intermediate Care Facility
  • Northridge, CA
National Provider Identifier
1528753456
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MAJESTICARE HEALTH AND REHAB CENTER OF NORTHRIDGE
Practice address
17075 Gledhill St
Northridge, CA 91325-2543
Phone
(818) 554-4769
NPI assigned
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Geyaneh Vartanian
Title
Owner
Phone
(818) 554-4769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

17075 Gledhill St
Northridge, CA 91325-2543

Mailing address

17075 Gledhill St
Northridge, CA 91325-2543

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
05D2288515Majesticare Health and Rehab Center17075 Gledhill Street, Northridge, CA 91325Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1528753456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 GLEDHILL ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 GLEDHILL ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252543",
            "telephone_number": "818-554-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTICARE HEALTH AND REHAB CENTER OF NORTHRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "VARTANIAN",
        "authorized_official_first_name": "GEYANEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-554-4769"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.