Organization Active NPI

Toluca Congregate Living, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Van Nuys, CA
National Provider Identifier
1679900559
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
TOLUCA CONGREGATE LIVING, INC.
Practice address
6339 Mary Ellen Ave
Van Nuys, CA 91401-2521
Phone
(818) 787-0088
Fax
(818) 787-0011
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Mr. Armen Oganesyan
Title
President
Phone
(818) 787-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X CA Primary

Addresses

Primary practice location

6339 Mary Ellen Ave
Van Nuys, CA 91401-2521

Mailing address

6339 Mary Ellen Ave
Van Nuys, CA 91401-2521
Phone (818) 787-0088

Other identifiers 1

IdentifierTypeStateIssuer
320700000XMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1679900559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 MARY ELLEN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012521",
            "telephone_number": "818-787-0088",
            "fax_number": "818-787-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MARY ELLEN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012521",
            "telephone_number": "818-787-0088",
            "fax_number": "818-787-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLUCA CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-787-0088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320700000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.