Organization Active NPI

Heritage Congregate Living

  • Home Health Agency
  • Reseda, CA
National Provider Identifier
1558089912
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE CONGREGATE LIVING
Practice address
7051 Rhea Ave
Reseda, CA 91335-4006
Phone
(818) 331-1215
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Gagik Harutyunyan
Title
Owner
Phone
(818) 331-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7051 Rhea Ave
Reseda, CA 91335-4006

Mailing address

7051 Rhea Ave
Reseda, CA 91335-4006

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
05D2309275Heritage Congregate Living7051 Rhea Ave, Reseda, CA 91335Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1558089912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 RHEA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 RHEA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354006",
            "telephone_number": "818-331-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-331-1215"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.