# ARARAT HOME OF LOS ANGELES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ararat Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003958356
- **Authorized official:** MR. DERIK GHOOKASIAN (COO)
- **Authorized official phone:** (323) 256-8012

## Contact information

- **Practice address:** 2373 COLORADO BLVD, LOS ANGELES, CA 90041-1157
- **Practice address phone:** (323) 256-8012
- **Practice address fax:** (323) 256-8146
- **Mailing address:** 2373 COLORADO BLVD, LOS ANGELES, CA 90041-1157
- **Mailing address phone:** (323) 256-8012
- **Mailing address fax:** (323) 256-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000045 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 07/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55126F | — | CA |