# VINTAGE CONGREGATE LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194649228
- **Authorized official:** HAMAZASP KHUDOYAN (PRESIDENT)
- **Authorized official phone:** (818) 983-2224

## Contact information

- **Practice address:** 18122 VINTAGE ST, NORTHRIDGE, CA 91325-1052
- **Practice address phone:** (818) 983-2224
- **Mailing address:** 18122 VINTAGE ST, NORTHRIDGE, CA 91325-1052

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2026
- **Last updated:** 08/10/2026