Organization Active NPI

Mindwell Recuperative Care LLC

  • Respite Care
  • Los Angeles, CA
National Provider Identifier
1952279507
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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

Updated by the provider on Oct 27, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.