Provider Demographics
NPI:1457066847
Name:VELVET CARE, INC.
Entity Type:Organization
Organization Name:VELVET CARE, INC.
Other - Org Name:VELVET CARE 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAYK
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRAKOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-480-2009
Mailing Address - Street 1:15731 LEMARSH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-1511
Mailing Address - Country:US
Mailing Address - Phone:818-810-0074
Mailing Address - Fax:
Practice Address - Street 1:15731 LEMARSH ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-1511
Practice Address - Country:US
Practice Address - Phone:818-810-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA197610248OtherDSS
CA197610489OtherDSS