Organization Active NPI

Burbank Hills Congregate Home Inc

  • Nursing Care Agency
  • Burbank, CA
National Provider Identifier
1639701840
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
BURBANK HILLS CONGREGATE HOME INC
Practice address
915 E Cedar Ave
Burbank, CA 91501-1527
Phone
(818) 457-1040
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Mrs. Agavni Aggie Uzunyan
Title
President Ceo
Phone
(818) 515-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

915 E Cedar Ave
Burbank, CA 91501-1527

Mailing address

915 E Cedar Ave
Burbank, CA 91501-1527

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNO LICENSE YET

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Burbank Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1639701840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E CEDAR AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E CEDAR AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915011527",
            "telephone_number": "818-457-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK HILLS CONGREGATE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "UZUNYAN",
        "authorized_official_first_name": "AGAVNI",
        "authorized_official_middle_name": "AGGIE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "818-515-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO LICENSE YET",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burbank",
            "affiliation": "N",
            "endpointDescription": "congregate living home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 E Cedar Ave",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915011527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.