La Wellness Home Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LA WELLNESS HOME INC.

Practice address

2428 N Lincoln St
Burbank, CA 91504-2627

Phone

(818) 808-0108

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ishkhan Shahazizyan

Title

Ceo

Phone

(818) 808-0108

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1801518956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 N LINCOLN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042627",
            "telephone_number": "818-808-0108",
            "fax_number": "323-892-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 N LINCOLN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042627",
            "telephone_number": "818-808-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA WELLNESS HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAHAZIZYAN",
        "authorized_official_first_name": "ISHKHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-808-0108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LAwellnesshome@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2428 N Lincoln St",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915042627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Burbank, CA
• Providers in Burbank, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.