Organization Active NPI

Aurora Congregate Health

  • Skilled Nursing Facility
  • Granada Hills, CA
National Provider Identifier
1558950766
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AURORA CONGREGATE HEALTH
Practice address
12706 Byron Ave
Granada Hills, CA 91344-1351
Phone
(818) 257-1457
NPI assigned
Jan 12, 2021
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Ani Mkrtchyan
Title
President
Phone
(818) 257-1457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

12706 Byron Ave
Granada Hills, CA 91344-1351

Mailing address

12706 Byron Ave
Granada Hills, CA 91344-1351

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
05D2335213Aurora Congregate Health12706 Byron Avenue, Granada Hills, CA 91344Certificate of waiverDec 7, 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": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1558950766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12706 BYRON AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12706 BYRON AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441351",
            "telephone_number": "818-257-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA CONGREGATE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-257-1457"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.