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WELLNESS CONGREGATED LIVING FACILITY NPI 1023588936


NPI Information

NPI: 1023588936
Provider Name: WELLNESS CONGREGATED LIVING FACILITY
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 05D2160115

Address:
6231 ETHEL AVE
VAN NUYS, CA
ZIP 91401
Phone: (818) 782-7276
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WELLNESS CONGREGATED LIVING FACILITY is a nursing care in Van Nuys, CA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. WELLNESS CONGREGATED LIVING FACILITY NPI is 1023588936. The provider is registered as an organization entity type.

The provider's business location address is:

6231 ETHEL AVE
VAN NUYS, CA
ZIP 91401-220
Phone: (818) 782-7276
Fax: (818) 935-6245

The provider's authorized official is Ruben Avetisyan .
The authorized official title is Ceo/coo and has the following contact phone number (424) 888-0909.

The CLIA number assigned to this NPI record is 05D2160115 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.