SIRAK MINASYAN


Address: 6840 Nestle Ave, Reseda, CA 91335-4542
Phone: 7472229222

SIRAK MINASYAN (NPI# 1104248400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104248400
Entity Type Individual
Full Name SIRAK MINASYAN
Practice Address 6840 Nestle Ave
Reseda
CA 91335-4542
Practice Telephone 7472229222
Practice Fax Number 5594359990
Mailing Telephone 7472229222
Mailing Fax Number 5594359990
Enumeration Date 2014-01-06
Last Update Date 2014-01-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities Residential Treatment Facilities

Office Location

Street Address 6840 NESTLE AVE
City RESEDA
State CA
Zip Code 91335-4542

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Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699281584 Derani Congregate Living, Inc. Residential Treatment Facility, Physical Disabilities 7344 Etiwanda Ave, Reseda, CA 91335-3103 2017-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881217974 At Awe LLC Residential Treatment Facility, Physical Disabilities 10876 Morning Ridge Dr, Moreno Valley, CA 92557-4202 2020-05-22
1558980896 Viewcrest Congregate Living Residential Treatment Facility, Physical Disabilities 7831 Melita Ave, North Hollywood, CA 91605-1820 2020-04-15
1962046524 Randy Sarnillo Morelos Residential Treatment Facility, Physical Disabilities 9152 Chianti Circle, Stockton, CA 95212 2019-11-06
1518515618 Dashonia Shaw Residential Treatment Facility, Physical Disabilities 3053 N Delno Ave, Fresno, CA 93705-4015 2019-08-31
1114572385 Twet, LLC Residential Treatment Facility, Physical Disabilities 1682 Daybreak Pl, Escondido, CA 92027-1023 2019-08-05
1144873308 Resurgence California, LLC Residential Treatment Facility, Physical Disabilities 3129 Pierce Ave, Costa Mesa, CA 92626-2827 2019-07-17
1891352019 Mountain View Congregate Living, Inc. Residential Treatment Facility, Physical Disabilities 9001 Riderwood Dr, Sunland, CA 91040-2628 2019-05-22
1174014153 Fresno Congregate Living Inc Residential Treatment Facility, Physical Disabilities 3110 E Sierra Ave, Fresno, CA 93710-5917 2018-05-24
1871090803 Prestige Care Center Residential Treatment Facility, Physical Disabilities 474 Sunday Dr, Turlock, CA 95382-9625 2018-04-06
1336661057 Tak Care Residential Treatment Facility, Physical Disabilities 2280 N Girasol Ave, Palm Springs, CA 92262-2885 2017-07-14
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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