Caring Love Boarding Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARING LOVE BOARDING CARE

Practice address

5902 Shirley Ave
Tarzana, CA 91356-1038

Phone

(818) 370-2077

Fax

(207) 708-4971

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Khachatur Grigoryan

Title

Licensee

Phone

(818) 312-8631

Specialties & licenses 1

Addresses

Other names 1

• Caring Love Boarding Care Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1003644873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 SHIRLEY AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561038",
            "telephone_number": "818-370-2077",
            "fax_number": "207-708-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 SHIRLEY AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561038",
            "telephone_number": "818-370-2077",
            "fax_number": "207-708-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING LOVE BOARDING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "KHACHATUR",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-312-8631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Love Boarding Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.