Organization Active NPI

Icf la LLC

  • Intellectual Disabilities Intermediate Care Facility
  • North Hollywood, CA
National Provider Identifier
1710637426
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ICF LA LLC
Practice address
6631 Cleon Ave
North Hollywood, CA 91606-2109
Phone
(323) 680-0686
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Mr. Aron H Petrosian
Title
Ceo
Phone
(323) 680-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

6631 Cleon Ave
North Hollywood, CA 91606-2109

Mailing address

6631 Cleon Ave
North Hollywood, CA 91606-2109
Phone (323) 680-0686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1710637426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 CLEON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062109",
            "telephone_number": "323-680-0686",
            "fax_number": "818-936-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 CLEON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062109",
            "telephone_number": "323-680-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICF LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "PETROSIAN",
        "authorized_official_first_name": "ARON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-680-0686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.