Provider Demographics
NPI:1558980896
Name:VIEWCREST CONGREGATE LIVING
Entity Type:Organization
Organization Name:VIEWCREST CONGREGATE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:818-800-0818
Mailing Address - Street 1:7831 MELITA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1820
Mailing Address - Country:US
Mailing Address - Phone:818-800-0818
Mailing Address - Fax:877-414-2183
Practice Address - Street 1:7831 MELITA AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1820
Practice Address - Country:US
Practice Address - Phone:818-800-0818
Practice Address - Fax:877-414-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities