Active NPI
Archwood Care
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Van Nuys, CA
National Provider Identifier
1972964815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- ARCHWOOD CARE
- Practice address
- 13245 Archwood St
Van Nuys, CA 91401-9100 - Phone
- (818) 304-4582
- NPI assigned
- Mar 18, 2016
- 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. Samvel Gyurdzhyan
- Title
- Ceo
- Phone
- (818) 304-4582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
13245 Archwood St
Van Nuys, CA 91401-9100
Mailing address
13245 Archwood St
Van Nuys, CA 91401
Phone (818) 304-4582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G772
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ARCHWOOD CARE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 10, 2018
- Last certification
- Feb 12, 2026
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Facility address
- 13245 Archwood Street
Van Nuys, CA 91401
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458259200000",
"number": "1972964815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13245 ARCHWOOD ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91401",
"telephone_number": "818-304-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13245 ARCHWOOD ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914019100",
"telephone_number": "818-304-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCHWOOD CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-18",
"last_updated": "2016-03-18",
"status": "A",
"authorized_official_last_name": "GYURDZHYAN",
"authorized_official_first_name": "SAMVEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-304-4582",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.