Evercare Congregate

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

EVERCARE CONGREGATE

Practice address

9535 McLennan Ave
Northridge, CA 91343-2532

Phone

(818) 216-2288

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Gohar Stepanyan

Title

Ceo

Phone

(818) 216-2288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1609623941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 MCLENNAN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913432532",
            "telephone_number": "818-216-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 MCLENNAN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913432532",
            "telephone_number": "818-216-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE CONGREGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-216-2288"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siamak P Etehad, MD
• Karina Evangelista
• Elizabeth D Evans, MD.
• Kenneth Kameron Evans III
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• Evolutions Detox
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• Explorer Home Health
• Expo Diagnostics, Inc.

• Nursing Facility/Intermediate Care Facility in Northridge, CA
• Providers in Northridge, 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 May 3, 2024; 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.