Heavenly Manor Inc

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

HEAVENLY MANOR INC

Practice address

9742 Haskell Ave
North Hills, CA 91343-2017

Phone

(818) 653-6440

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Stepan Steve Amirian

Title

President

Phone

(818) 653-6440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1750101184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9742 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432017",
            "telephone_number": "818-653-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9742 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432017",
            "telephone_number": "818-653-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "AMIRIAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-653-6440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recovery Care Clinic/Center in North Hills, CA
• Providers in North Hills, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.