Cathedral Congregate Living, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CATHEDRAL CONGREGATE LIVING, INC

Practice address

68315 Riviera Rd
Cathedral City, CA 92234-4843

Phone

(323) 823-8828

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Arutyun Balyan

Title

Ceo

Phone

(323) 823-8828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1942718853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68315 RIVIERA RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344843",
            "telephone_number": "323-823-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68315 RIVIERA RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922344843",
            "telephone_number": "323-823-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL CONGREGATE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "BALYAN",
        "authorized_official_first_name": "ARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-823-8828"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Rose Human Services
• Kevin Emralino Carizon, PT
• Jenny Carr, RD
• Deanne Carroll, RN
• Cathedral City Palms, LLC
• Analisa Ambat Cayabyab
• Mark W. Charles, PHD
• Kylee Chavez, DDS
• Yixuan Che, PT
• Vincent Kim-Thye Chee, D.D.S

• Skilled Nursing Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.