Kingsley Place Adhc 2

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000907 Issued in CA

Legal business name

KINGSLEY PLACE ADHC 2

Practice address

1225 James M. Wood Blvd.
Los Angeles, CA 90015-1231

Phone

(213) 387-9097

Fax

(213) 387-9098

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Armen Basmadzhyan

Title

Administrator

Phone

(213) 387-9097

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1881819837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JAMES M. WOOD BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151231",
            "telephone_number": "213-387-9097",
            "fax_number": "213-387-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JAMES M. WOOD BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151231",
            "telephone_number": "213-387-9097",
            "fax_number": "213-387-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY PLACE ADHC 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BASMADZHYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-387-9097"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70395F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene N Kingori, LCSW
• Kings Group Holding
• Kings TMS Therapy Clinic
• Kingsley O. Ofoegbu, MD, F.a.C.P., Inc.
• Kingsley Pharmacy
• Kingsley Place Adult Health Day Care Inc
• Janis Kingsley, PSYD
• Kingston Health Group
• Anna Kingston, OT
• Sara Elizabeth Kingston, MD

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.