Organization Active NPI

MGM Senior Living, Inc.

  • Assisted Living Facility
  • Van Nuys, CA
National Provider Identifier
1700775897
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MGM SENIOR LIVING, INC.
Practice address
6271 N Buffalo Ave
Van Nuys, CA 91401
Phone
(310) 623-7381
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Siranusg Belluyan
Title
Ceo/Administrator
Phone
(310) 623-7381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6271 N Buffalo Ave
Van Nuys, CA 91401

Mailing address

7941 Melita Ave
North Hollywood, CA 91605-1850
Phone (310) 623-7381

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1700775897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 MELITA AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051850",
            "telephone_number": "310-623-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 N BUFFALO AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "310-623-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BELLUYAN",
        "authorized_official_first_name": "SIRANUSG",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "310-623-7381"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2025; 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.