Provider Demographics
NPI:1942773361
Name:RESEDA HOME FOR THE ELDERLY, INC. - DBA- AVE OF THE BELLS
Entity Type:Organization
Organization Name:RESEDA HOME FOR THE ELDERLY, INC. - DBA- AVE OF THE BELLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-340-4652
Mailing Address - Street 1:5826 JUMILLA AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5826 JUMILLA AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5604
Practice Address - Country:US
Practice Address - Phone:818-340-4652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility