Organization Active NPI

Qor Healthcare LLC

  • Skilled Nursing Facility
  • Pacoima, CA
National Provider Identifier
1851832414
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 15, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2133887Qor Healthcare LLC, Dba Allwell Residential Care11472 Glenoaks Blvd, Pacoima, CA 91331Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.