Fairway Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAIRWAY ASSISTED LIVING INC

Practice address

2623 Fairway Ave
Montrose, CA 91020-1409

Phone

(818) 653-2439

NPI assigned

Dec 9, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seda Muradyan, ADMINISTRATOR

Title

Admin/Ceo

Phone

(818) 653-2439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1043026636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 FAIRWAY AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201409",
            "telephone_number": "818-653-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 FAIRWAY AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201409",
            "telephone_number": "818-653-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "SEDA",
        "authorized_official_title_or_position": "ADMIN/CEO",
        "authorized_official_telephone_number": "818-653-2439",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Montrose, CA
• Providers in Montrose, 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 Dec 9, 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.