Provider Demographics
NPI:1275236911
Name:ANNA'S HOME AND PARADISE INC
Entity Type:Organization
Organization Name:ANNA'S HOME AND PARADISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-660-0001
Mailing Address - Street 1:8053 BROADLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5401
Mailing Address - Country:US
Mailing Address - Phone:818-963-8008
Mailing Address - Fax:
Practice Address - Street 1:23463 HAYNES ST
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3319
Practice Address - Country:US
Practice Address - Phone:818-963-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility