13000 VICTORY BOULEVARD, LLC (NPI# 1689653289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689653289 |
| Entity Type | Organization |
| Organization Name | 13000 VICTORY BOULEVARD, LLC |
| Other Organization Name | WINDSOR GARDENS HEALTHCARE CENTER OF THE VALLEY |
| Practice Address |
13000 Victory Blvd North Hollywood CA 91606-2926 |
| Practice Telephone | 8189855990 |
| Practice Fax Number | 8189856482 |
| Mailing Telephone | 8189855990 |
| Mailing Fax Number | 8189856482 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2012-03-30 |
| Authorized Official Name | MR. ASH CHAWLA (VP, FINANCE) |
| Authorized Official Telephone | 3013851090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 920000079 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT05938L | 05 |
| Other Name | Type Code |
|---|---|
| Windsor Gardens Healthcare Center of the Valley | Doing Business As Name - Organization |
| Street Address |
13000 VICTORY BLVD |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511177 | Sara Hoffman | Occupational Therapy Assistant | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2019-10-29 |
| 1124584156 | Ruben Saenz | Occupational Therapy Assistant | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2019-02-14 |
| 1700340007 | Chris Peppers | Physical Therapy Assistant | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2019-01-31 |
| 1083188619 | Rachel-ann Cruz | Physical Medicine & Rehabilitation | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2019-01-16 |
| 1558832600 | Yamini Deshpande | Physical Therapist | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2018-12-16 |
| 1083145189 | Amber Hubbard | Occupational Therapist | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2017-03-21 |
| 1336599364 | Terrence Montallana | Student in an Organized Health Care Education/Training Program | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2016-06-21 |
| 1891156915 | Amanda Matloff | Speech-Language Pathologist | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2016-03-16 |
| 1528440104 | Mike Mardoyan | Skilled Nursing Facility | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2015-06-19 |
| 1639567068 | Michelle Eglin | Occupational Therapist | 13000 Victory Blvd, North Hollywood, CA 91606-2926 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709041 | St. Raphael Congregate Health Living, Inc. | Skilled Nursing Facility | 6016 Bellaire Ave, North Hollywood, CA 91606-4406 | 2018-05-04 |
| 1730613266 | Valley View Congregate Living Facility, Inc. | Skilled Nursing Facility | 6451 Gilson Ave, North Hollywood, CA 91606-1222 | 2017-04-11 |
| 1306206255 | Vital Care, Inc. | Skilled Nursing Facility | 12765 Strathern St, North Hollywood, CA 91605-1108 | 2016-03-03 |
| 1316337421 | Family Circle Clhf,inc. | Skilled Nursing Facility | 8061 Saint Clair Ave, North Hollywood, CA 91605-1322 | 2015-01-27 |
| 1306241070 | Alcove Congregate Living, Inc. | Skilled Nursing Facility | 6509 Alcove Ave, North Hollywood, CA 91606-1106 | 2014-10-23 |
| 1851720486 | Congregate Living Health Facility, Inc. | Skilled Nursing Facility | 5440 Tujunga Ave, North Hollywood, CA 91601-4967 | 2013-11-04 |
| 1417297169 | Ben Congregate Living Inc | Skilled Nursing Facility | 6622 Ben Ave, North Hollywood, CA 91606-1511 | 2013-02-17 |
| 1477647444 | Providence Health System - Southern California | Skilled Nursing Facility | 10425 Magnolia Blvd, North Hollywood, CA 91601-4109 | 2006-10-03 |
| 1114998648 | Chandler Convalescent Hospital, Inc | Skilled Nursing Facility | 5335 Laurel Canyon Blvd, North Hollywood, CA 91607-2711 | 2006-02-01 |
| 1902895972 | Golden Care, Inc. | Skilled Nursing Facility | 6120 Vineland Ave, North Hollywood, CA 91606-4914 | 2005-10-20 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
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| 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.