ICF LA LLC NPI 1710637426

NPI Information

NPI: 1710637426
Provider Name: ICF LA LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
6631 CLEON AVE
NORTH HOLLYWOOD, CA
ZIP 91606
Phone: (323) 680-0686
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ICF LA LLC is an intermediate care facility mentally retarded in North Hollywood, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ICF LA LLC NPI is 1710637426. The provider is registered as an organization entity type.

The provider's business location address is:

6631 CLEON AVE
NORTH HOLLYWOOD, CA
ZIP 91606-109
Phone: (323) 680-0686

The provider's authorized official is Aron H Petrosian .
The authorized official title is Ceo and has the following contact phone number (323) 680-0686.

The enumeration date for this NPI number is 3/25/2022 and was last updated on 3/28/2022.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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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