WELLBE HOME INC NPI 1215446109

NPI Information

NPI: 1215446109
Provider Name: WELLBE HOME INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12950 HAYNES ST
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (818) 414-0005
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WELLBE HOME INC is an assisted living facility in North Hollywood, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WELLBE HOME INC NPI is 1215446109. The provider is registered as an organization entity type.

The provider's business location address is:

12950 HAYNES ST
NORTH HOLLYWOOD, CA
ZIP 91606-022
Phone: (818) 414-0005
Fax: (855) 683-8256

The provider's authorized official is Vahe Mkrtchian .
The authorized official title is Administrator and has the following contact phone number (818) 414-0005.

The enumeration date for this NPI number is 9/24/2017 and was last updated on 1/22/2024.

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	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			No
2	310400000X	Assisted Living Facility		197609307	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	197609656	OTHER	CALIFORNIA	DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING) RCFE
2	195850280	OTHER	CALIFORNIA	DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCFE
3	197609307	OTHER	CALIFORNIA	DEPARTMENT OF SOCIAL SERVICES (COMMUNITY CARE LICENSING ) RCF

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: 4/28/2024

NPI Synchronization or Removal

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