Provider Demographics
NPI:1326815010
Name:HEMET ASSISTED LIVING LLC.
Entity Type:Organization
Organization Name:HEMET ASSISTED LIVING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:POGOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-581-0291
Mailing Address - Street 1:8906 MERCEDES AVE
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-5808
Mailing Address - Country:US
Mailing Address - Phone:818-581-0291
Mailing Address - Fax:
Practice Address - Street 1:2789 RAFFERTY RD
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3630
Practice Address - Country:US
Practice Address - Phone:818-581-0291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No251J00000XAgenciesNursing Care
No282E00000XHospitalsLong Term Care Hospital
No282N00000XHospitalsGeneral Acute Care Hospital
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility