Active NPI
Qor Healthcare LLC
- Skilled Nursing Facility
- Pacoima, CA
National Provider Identifier
1851832414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- QOR HEALTHCARE LLC
- Doing business as
- Allwell Residential Care
- Practice address
- 11472 Glenoaks Blvd
Pacoima, CA 91331-1111 - Phone
- (747) 225-3729
- NPI assigned
- Mar 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khachatur Saryan, D.D.S
- Title
- President
- Phone
- (818) 631-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
11472 Glenoaks Blvd
Pacoima, CA 91331-1111
Mailing address
3311 Beaudry Ter
Glendale, CA 91208-1750
Phone (818) 631-0770
Other names 1
- Allwell Residential Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2133887 | Qor Healthcare LLC, Dba Allwell Residential Care | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1851832414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 BEAUDRY TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081750",
"telephone_number": "818-631-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11472 GLENOAKS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311111",
"telephone_number": "747-225-3729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QOR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "SARYAN",
"authorized_official_first_name": "KHACHATUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-631-0770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allwell Residential Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.