NPI Information

  • NPI: 1215545538
  • Provider Name: VINE VALLEY HOMES II
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 05D2116525
  • Address: 8400 BELLINGHAM AVE
    SUN VALLEY, CA
    ZIP 91352
  • Phone: (818) 203-7779

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NPI Details

VINE VALLEY HOMES II is an intermediate care facility mentally retarded in Sun Valley, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. VINE VALLEY HOMES II NPI is 1215545538. The provider is registered as an organization entity type.

The provider's business location address is:

8400 BELLINGHAM AVE
SUN VALLEY, CA
ZIP 91352-803
Phone: (818) 203-7779

The provider's authorized official is Arsen Andreasyan .
The authorized official title is Ceo and has the following contact phone number (818) 203-7779.

The CLIA number assigned to this NPI record is 05D2116525 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 7/22/2020.

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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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: 11/21/2025

NPI Synchronization or Removal

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