13000 Victory Boulevard, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000079 Issued in CA

Legal business name

13000 VICTORY BOULEVARD, LLC

Doing business as

Windsor Gardens Healthcare Center of the Valley

Practice address

13000 Victory Blvd
North Hollywood, CA 91606-2926

Phone

(818) 985-5990

Fax

(818) 985-6482

NPI assigned

Jan 11, 2006

Last updated

Mar 30, 2012By 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

Mr. Ash Chawla

Title

VP, Finance

Phone

(301) 385-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Windsor Gardens Healthcare Center of the Valley Doing business as

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1689653289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062926",
            "telephone_number": "818-985-5990",
            "fax_number": "818-985-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062926",
            "telephone_number": "818-985-5990",
            "fax_number": "818-985-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "13000 VICTORY BOULEVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "301-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05938L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Gardens Healthcare Center of the Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in North Hollywood, CA
• Providers in North Hollywood, 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 30, 2012; 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.