VINELAND ADULT DAY HEALTH CARE CENTER NPI 1184820524

NPI Information

NPI: 1184820524
Provider Name: VINELAND ADULT DAY HEALTH CARE CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D0984014

Address:
5629 VINELAND AVE
NORTH HOLLYWOOD, CA
ZIP 91601
Phone: (818) 753-0714
Get Directions

VINELAND ADULT DAY HEALTH CARE CENTER is an adult day care clinic center in North Hollywood, CA. VINELAND ADULT DAY HEALTH CARE CENTER NPI is 1184820524. The provider is registered as an organization entity type.

The provider's business location address is:

5629 VINELAND AVE
NORTH HOLLYWOOD, CA
ZIP 91601-029
Phone: (818) 753-0714
Fax: (818) 753-0916

The provider's authorized official is Nara Kazarian .
The authorized official title is Administrator and has the following contact phone number 18187530714.

The CLIA number assigned to this NPI record is 05D0984014 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ADU70153F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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