Provider Demographics
NPI:1477930980
Name:WEST VALLEY CONGREGATE HEALTH LIVING, INC.
Entity Type:Organization
Organization Name:WEST VALLEY CONGREGATE HEALTH 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:KYURUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-349-1688
Mailing Address - Street 1:8035 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-1932
Mailing Address - Country:US
Mailing Address - Phone:818-349-1688
Mailing Address - Fax:818-349-1678
Practice Address - Street 1:8035 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-1932
Practice Address - Country:US
Practice Address - Phone:818-349-1688
Practice Address - Fax:818-349-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility