Corbin Congregate Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CORBIN CONGREGATE HOME, INC.

Practice address

9909 Bothwell Rd
Northridge, CA 91324-1002

Phone

(818) 998-1818

Fax

(818) 998-8282

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Grigor Arutyunyan

Title

Ceo

Phone

(818) 998-1818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1831527365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 BOTHWELL RD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241002",
            "telephone_number": "818-998-1818",
            "fax_number": "818-998-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 BOTHWELL RD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241002",
            "telephone_number": "818-998-1818",
            "fax_number": "818-998-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN CONGREGATE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "ARUTYUNYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-998-1818"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Cooley, MA, CCC-SLP
• Bridget Coonan, ATC
• Lucy Cooper
• Susan J Cooper, OTR
• Corazon Health Collective
• Fausto Santiago Cordero, MD
• Ingrid Cordero, PPS
• Sally Cordova
• Andrew Coria
• Livia-Druccila Coria, BCBA

• Skilled Nursing Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.