Organization Active NPI

Agape Senior Residence Inc.

  • Assisted Living Facility
  • Chatsworth, CA
National Provider Identifier
1609697689
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AGAPE SENIOR RESIDENCE INC.
Practice address
9746 Quartz Ave
Chatsworth, CA 91311-5638
Phone
(818) 796-9146
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Tigran Hambardzumyan
Title
Ceo
Phone
(818) 796-9146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9746 Quartz Ave
Chatsworth, CA 91311-5638

Mailing address

9746 Quartz Ave
Chatsworth, CA 91311-5638
Phone (818) 796-9146

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1609697689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 QUARTZ AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115638",
            "telephone_number": "818-796-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 QUARTZ AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115638",
            "telephone_number": "818-796-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SENIOR RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "HAMBARDZUMYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-796-9146"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.