HANSEN COMMUNITY CARE
NPI 1083205439
Intermediate Care Facility, Intellectual Disabilities in Pacoima, CA

Active since January 28, 2021CLIA 05D2289392 · Waiver
12943 WINGO ST, PACOIMA, CA 91331(818) 203-7779 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hansen Community Care NPPES

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

HANSEN COMMUNITY CARE (NPI 1083205439) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pacoima, California and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Alex Arutunyan, Cfo/secretary, as its authorized official.

NPPES Registry Identity

NPI1083205439
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHANSEN COMMUNITY CARE
Location Address12943 WINGO STPacoima, CA 91331-4156
Mailing Address12943 Wingo StPacoima, CA 91331-4156 · (818) 203-7779
Organization SubpartNo
Authorized OfficialAlex ArutunyanCfo/secretary · (818) 203-7779
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
NPI 1083205439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
12943 WINGO ST, Pacoima, CA 91331

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 05D2289392

Hansen Community Care · Pacoima, CA
Active · expires Sep 10, 2027
CLIA Number05D2289392
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorKajani Sikander
Laboratory Phone(747) 367-0241
Laboratory LocationHansen Community Care12943 Wingo St, Pacoima, CA 91331
CLIA data matches this NPI record on: Address Name
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 Hansen Community Care's NPI number?

The NPI number for Hansen Community Care is 1083205439. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Hansen Community Care located?

Hansen Community Care is located at 12943 Wingo St, Pacoima, CA 91331. The listed phone number is (818) 203-7779.

What is Hansen Community Care's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Hansen Community Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2289392) is associated with this NPI, valid through September 10, 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 Hansen Community Care was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.