Provider Demographics
NPI:1841671831
Name:WEST HILLS CONGREGATE HOUSE, INC.
Entity type:Organization
Organization Name:WEST HILLS CONGREGATE HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOPCS/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GELAREH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-577-7162
Mailing Address - Street 1:6726 GROSS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3211
Mailing Address - Country:US
Mailing Address - Phone:818-577-7162
Mailing Address - Fax:
Practice Address - Street 1:6726 GROSS AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3211
Practice Address - Country:US
Practice Address - Phone:818-577-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities