MEDICARE: VELVET CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	197610248	OTHER	CA	DSS
2	197610489	OTHER	CA	DSS

General Provider Information

NPI Number	:	1457066847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VELVET CARE, INC.

Provider Business Mailing Address
First Line	:	15731 LEMARSH ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-1511
Country	:	US
Telephone Number	:	818-810-0074
Fax Number	:

Provider Business Practice Location Address
First Line	:	15731 LEMARSH ST
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-1511
Country	:	US
Telephone Number	:	818-810-0074
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HAYK KIRAKOSYAN
Credential	:
Telephone Number	:	310-480-2009

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	12/28/2023

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Directions to “VELVET CARE, INC. ” Practice Location

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