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WELLNESS CONGREGATED LIVING FACILITY
NPI 1023588936
Nursing Care in Van Nuys, CA

Active since December 04, 2018CLIA 05D2160115 · Waiver
6231 ETHEL AVE, VAN NUYS, CA 91401(818) 782-7276(818) 935-6245 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellness Congregated Living Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS CONGREGATED LIVING FACILITY (NPI 1023588936) is a healthcare organization registered as a nursing care in Van Nuys, California and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Ruben Avetisyan, Ceo/coo, as its authorized official.

NPPES Registry Identity

NPI1023588936
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameWELLNESS CONGREGATED LIVING FACILITY
Location Address6231 ETHEL AVEVan Nuys, CA 91401-3220
Mailing Address6231 Ethel AveVan Nuys, CA 91401-3220 · (818) 782-7276 · Fax (818) 935-6245
Phone(818) 782-7276
Fax(818) 935-6245
Organization SubpartNo
Authorized OfficialRuben AvetisyanCeo/coo · (424) 888-0909
Enumeration DateDecember 4, 2018
✔ NPI 1023588936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
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.
6231 ETHEL AVE, Van Nuys, CA 91401
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2160115

Wellness Congregated Living Facility Inc · Van Nuys, CA
Active · expires Jan 3, 2027
CLIA Number05D2160115
Laboratory TypeCongregate Living Facilit
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorSuman N. Patel MD
Laboratory Phone(818) 782-7276
Laboratory LocationWellness Congregated Living Facility Inc6231 Ethel Avenue, Van Nuys, CA 91401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Congregated Living Facility's NPI number?

The NPI number for Wellness Congregated Living Facility is 1023588936. It was assigned to this organization in the NPPES registry on December 4, 2018.

Where is Wellness Congregated Living Facility located?

Wellness Congregated Living Facility is located at 6231 Ethel Ave, Van Nuys, CA 91401. The listed phone number is (818) 782-7276.

What is Wellness Congregated Living Facility's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Wellness Congregated Living Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2160115) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Congregated Living Facility was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.