Organization Active NPI

Queen of Angels Residential Care Facility

  • Mental Illness Intermediate Care Facility
  • Northridge, CA
National Provider Identifier
1720857766
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
QUEEN OF ANGELS RESIDENTIAL CARE FACILITY
Practice address
9514 Rubio Ave
Northridge, CA 91343-2614
Phone
(323) 684-1609
NPI assigned
Jan 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Sona Ayrapetyan
Title
Administrator
Phone
(323) 684-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Primary

Addresses

Primary practice location

9514 Rubio Ave
Northridge, CA 91343-2614

Mailing address

6621 Teesdale Ave
North Hollywood, CA 91606-1209
Phone (323) 684-1609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1720857766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 TEESDALE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061209",
            "telephone_number": "323-684-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 RUBIO AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913432614",
            "telephone_number": "323-684-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN OF ANGELS RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "AYRAPETYAN",
        "authorized_official_first_name": "SONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-684-1609"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.