Organization Active NPI

Paradise Congregate Living Inc

  • Nursing Facility/Intermediate Care Facility
  • Van Nuys, CA
National Provider Identifier
1720406762
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
550003206 Issued in CA
Legal business name
PARADISE CONGREGATE LIVING INC
Practice address
14822 Cohasset St
Van Nuys, CA 91405-1803
Phone
(855) 747-0777
NPI assigned
Apr 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Liliana Cohen, MD
Title
Ceo
Phone
(855) 747-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 550003206 CA Primary

Addresses

Primary practice location

14822 Cohasset St
Van Nuys, CA 91405-1803

Mailing address

14822 Cohasset St
Van Nuys, CA 91405-1803
Phone (855) 747-0777

Other identifiers 2

IdentifierTypeStateIssuer
5404141MedicaidCA
550003206OtherCACDPH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720406762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14822 COHASSET ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051803",
            "telephone_number": "855-747-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14822 COHASSET ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051803",
            "telephone_number": "855-747-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-747-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "550003206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5404141",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH",
            "identifier": "550003206",
            "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 Jul 21, 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.