Active NPI
Icf la LLC
- Intellectual Disabilities Intermediate Care Facility
- North Hollywood, CA
National Provider Identifier
1710637426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.