Provider Demographics
NPI:1245770676
Name:GRANADA HILLS CARE HOMES
Entity Type:Organization
Organization Name:GRANADA HILLS CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-203-7779
Mailing Address - Street 1:11014 MONOGRAM AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5216
Mailing Address - Country:US
Mailing Address - Phone:747-300-2170
Mailing Address - Fax:818-475-1540
Practice Address - Street 1:11014 MONOGRAM AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5216
Practice Address - Country:US
Practice Address - Phone:747-300-2170
Practice Address - Fax:818-475-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities