Provider Demographics
NPI:1558779439
Name:HARMONY CONGREGATE LIVING, INC
Entity Type:Organization
Organization Name:HARMONY CONGREGATE LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MR
Authorized Official - First Name:VREZH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-300-0000
Mailing Address - Street 1:6507 BABCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606
Mailing Address - Country:US
Mailing Address - Phone:818-300-0000
Mailing Address - Fax:
Practice Address - Street 1:6724 ALLOTT AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1104
Practice Address - Country:US
Practice Address - Phone:818-300-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities