Burbank Congregate Living Center, Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

BURBANK CONGREGATE LIVING CENTER, INC

Practice address

1100 Leland Way
Burbank, CA 91504-4113

Phone

(818) 538-5434

Fax

(818) 301-1255

NPI assigned

Mar 4, 2016

Last updated

Mar 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krisitne Aleksanian

Title

Ceo

Phone

(818) 538-5434

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1790145654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LELAND WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044113",
            "telephone_number": "818-538-5434",
            "fax_number": "818-301-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LELAND WAY",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044113",
            "telephone_number": "818-538-5434",
            "fax_number": "818-301-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK CONGREGATE LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "ALEKSANIAN",
        "authorized_official_first_name": "KRISITNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-5434"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.