Active NPI
Well Care Congregate Living Health Facility, Inc
- Skilled Nursing Facility
- Van Nuys, CA
National Provider Identifier
1922534916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WELL CARE CONGREGATE LIVING HEALTH FACILITY, INC
- Practice address
- 14926 Vose St.
Van Nuys, CA 91405 - Phone
- (818) 646-1138
- Fax
- (818) 646-1139
- NPI assigned
- May 11, 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
- Mr. Oganes Azatyan
- Title
- Ceo
- Phone
- (818) 646-1138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
14926 Vose St.
Van Nuys, CA 91405
Mailing address
14926 Vose St.
Van Nuys, CA 91405
Phone (818) 646-1138
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 |
|---|---|---|---|
| 05D2104496 | Well Care Congregate Living Health Facility, Inc | Certificate of waiver | Nov 4, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1922534916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14926 VOSE ST.",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-646-1138",
"fax_number": "818-646-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14926 VOSE ST.",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-646-1138",
"fax_number": "818-646-1139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL CARE CONGREGATE LIVING HEALTH FACILITY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "AZATYAN",
"authorized_official_first_name": "OGANES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-646-1138",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.