Provider Demographics
NPI:1205654373
Name:TONOPAH CARE HOME LLC
Entity type:Organization
Organization Name:TONOPAH CARE HOME LLC
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:DARBINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-445-5276
Mailing Address - Street 1:13130 TONOPAH ST
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-4944
Mailing Address - Country:US
Mailing Address - Phone:323-831-7629
Mailing Address - Fax:818-233-0972
Practice Address - Street 1:13130 TONOPAH ST
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-4944
Practice Address - Country:US
Practice Address - Phone:323-831-7629
Practice Address - Fax:818-233-0972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility