Provider Demographics
NPI:1912547571
Name:NEW START CLHF'S INDEPENDENT TRAINING CENTERS
Entity Type:Organization
Organization Name:NEW START CLHF'S INDEPENDENT TRAINING CENTERS
Other - Org Name:NEW START CLHF'S INDEPENDENT TRAINING CENTERS -WILBUR HOUSE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO, COO
Authorized Official - Prefix:
Authorized Official - First Name:GEYANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-900-2711
Mailing Address - Street 1:10318 LARAMIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2530
Mailing Address - Country:US
Mailing Address - Phone:818-900-2711
Mailing Address - Fax:
Practice Address - Street 1:18900 MAYALL ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-1214
Practice Address - Country:US
Practice Address - Phone:818-900-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-12
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility