Active NPI
Mindwell Recuperative Care LLC
- Respite Care
- Los Angeles, CA
National Provider Identifier
1952279507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- MINDWELL RECUPERATIVE CARE LLC
- Practice address
- 6383 Yucca St
Los Angeles, CA 90028-5057 - Phone
- (213) 519-2442
- Fax
- (818) 457-5577
- NPI assigned
- Oct 27, 2025
- 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
- Suren Petoyan, PHARM TECH
- Title
- Manager
- Phone
- (323) 660-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
6383 Yucca St
Los Angeles, CA 90028-5057
Mailing address
6383 Yucca St
Los Angeles, CA 90028-5057
Phone (213) 519-2442
National Provider Directory
National Provider DirectoryLocations
6383 Yucca St
Los Angeles, CA 90028
Phone (213) 519-2442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1952279507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6383 YUCCA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285057",
"telephone_number": "213-519-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6383 YUCCA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285057",
"telephone_number": "213-519-2442",
"fax_number": "818-457-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDWELL RECUPERATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "PETOYAN",
"authorized_official_first_name": "SUREN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-660-2222",
"authorized_official_credential": "PHARM TECH"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.