Healthcare Provider Details

I. General information

NPI: 1477555472
Provider Name (Legal Business Name): ARARAT HOME OF LOS ANGELES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15099 MISSION HILLS RD
MISSION HILLS CA
91345-1102
US

IV. Provider business mailing address

15099 MISSION HILLS RD
MISSION HILLS CA
91345-1102
US

V. Phone/Fax

Practice location:
  • Phone: 818-837-1800
  • Fax: 818-898-2224
Mailing address:
  • Phone: 818-837-1800
  • Fax: 818-898-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number920000124
License Number StateCA

VIII. Authorized Official

Name: MR. NAREG GHOOKASIAN
Title or Position: EXECUTIVE DIRECTOR
Credential: NHA
Phone: 818-837-1800