G V Congregate Living, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

G V CONGREGATE LIVING, INC

Practice address

3027 W Avenue L8
Lancaster, CA 93536-3405

Phone

(661) 888-5885

NPI assigned

Jan 29, 2014

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syuzanna Mnatsakanyan

Title

Cfo

Phone

(661) 888-5885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1588087357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 W AVENUE L8",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935363405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 W AVENUE L8",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935363405",
            "telephone_number": "661-888-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G V CONGREGATE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "MNATSAKANYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-888-5885"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Deon Fuller
• Fullmynd Integrative Psychiatry & Wellness, a Nursing Professional Corporation
• Antony H Fung, MD
• Tik Lung Dion Fung, M.D.
• G I Varaprasathan MD a Prof Corp (Pathology Cytopathology Services Medical Group, Inc.)
• Pedram Gabayan, PHARMD
• Glenn Gabrang
• Mary Gacii, CNM
• Sameh F Gadallah, M.D.
• Leon Alexandra Gaddi, REGISTERED NURSE

• Skilled Nursing Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.