JUDD ASSISTED LIVING
NPI 1508546409
Assisted Living Facility in Pacoima, CA

Q: What is Judd Assisted Living's NPI number?

The NPI number for Judd Assisted Living is 1508546409. It was assigned to this organization in the NPPES registry on July 25, 2023.

Q: What is Judd Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since July 25, 2023

12615 JUDD ST, PACOIMA, CA 91331(747) 240-9360(747) 246-9511 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Judd Assisted Living NPPES

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

JUDD ASSISTED LIVING (NPI 1508546409) is a healthcare organization registered as an assisted living facility in Pacoima, California and active in the NPI registry since July 2023. The organization lists Liana Rafiki Avanesyan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508546409

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJUDD ASSISTED LIVING

Location Address12615 JUDD STPacoima, CA 91331-1319

Mailing Address12615 Judd StPacoima, CA 91331-1319 · (747) 240-9360 · Fax (747) 246-9511

Phone(747) 240-9360

Fax(747) 246-9511

Organization SubpartNo

Authorized OfficialLiana Rafiki AvanesyanAdministrator · (747) 240-9360

Enumeration DateJuly 25, 2023

NPPES CertifiedJuly 24, 2023

✔ NPI 1508546409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

12615 JUDD ST, Pacoima, CA 91331

Open in Google Maps ↗

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 Judd Assisted Living's NPI number?

The NPI number for Judd Assisted Living is 1508546409. It was assigned to this organization in the NPPES registry on July 25, 2023.

Where is Judd Assisted Living located?

Judd Assisted Living is located at 12615 Judd St, Pacoima, CA 91331. The listed phone number is (747) 240-9360.

What is Judd Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Judd Assisted Living was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.