POTTER CARE LLC
NPI 1619344488
Nursing Facility/Intermediate Care Facility in Simi Valley, CA

Q: What is Potter Care LLC's NPI number?

The NPI number for Potter Care LLC is 1619344488. It was assigned to this organization in the NPPES registry on August 28, 2015.

Q: What is Potter Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Potter Care LLC was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 28, 2015

2041 POTTER AVE, SIMI VALLEY, CA 93065(818) 304-4582 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Potter Care Llc NPPES

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

POTTER CARE LLC (NPI 1619344488) is a healthcare organization registered as a nursing facility/intermediate care facility in Simi Valley, California and active in the NPI registry since August 2015. The organization lists Samvel Gyurdzhyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619344488

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NamePOTTER CARE LLC

Location Address2041 POTTER AVESimi Valley, CA 93065-2442

Mailing Address2041 Potter AveSimi Valley, CA 93065-2442

Phone(818) 304-4582

Organization SubpartNo

Authorized OfficialSamvel GyurdzhyanCeo · (323) 573-4582

Enumeration DateAugust 28, 2015

✔ NPI 1619344488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

2041 POTTER AVE, Simi Valley, CA 93065

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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 Potter Care LLC's NPI number?

The NPI number for Potter Care LLC is 1619344488. It was assigned to this organization in the NPPES registry on August 28, 2015.

Where is Potter Care LLC located?

Potter Care LLC is located at 2041 Potter Ave, Simi Valley, CA 93065. The listed phone number is (818) 304-4582.

What is Potter Care LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Potter Care LLC was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.