Provider Demographics
NPI:1285041889
Name:NEW HAVEN CONGREGATE LIVING, INC
Entity Type:Organization
Organization Name:NEW HAVEN CONGREGATE LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-445-5276
Mailing Address - Street 1:7736 SANCOLA AVE
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-4358
Mailing Address - Country:US
Mailing Address - Phone:818-445-5276
Mailing Address - Fax:818-337-7204
Practice Address - Street 1:7736 SANCOLA AVE
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-4358
Practice Address - Country:US
Practice Address - Phone:818-445-5276
Practice Address - Fax:818-337-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility