Organization Active NPI

Grand Adult Health Day Care, Inc.

Doing business as Grand Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1942414990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GRAND ADULT HEALTH DAY CARE, INC.
Doing business as
Grand Adult Day Health Care Center
Practice address
6752 White Oak Avenue
Van Nuys, CA 91406
Phone
(818) 344-3456
Fax
(818) 344-3321
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Simon Pogossian
Title
President
Phone
(818) 344-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

6752 White Oak Avenue
Van Nuys, CA 91406

Mailing address

6752 White Oak Avenue
Van Nuys, CA 91406
Phone (818) 344-3456

Other names 1

  • Grand Adult Day Health Care Center 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
05D1021033Grand Adult Day Health Care6752 White Oak Ave, Van Nuys, CA 91406Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

6752 White Oak Ave
Van Nuys, CA 91406
Phone (818) 344-3456

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942414990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 WHITE OAK AVENUE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-344-3456",
            "fax_number": "818-344-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 WHITE OAK AVENUE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-344-3456",
            "fax_number": "818-344-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ADULT HEALTH DAY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POGOSSIAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-344-3456"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.