Valley Grace Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VALLEY GRACE HOME, INC.

Practice address

16052 Chase St
North Hills, CA 91343

Phone

(818) 305-6255

Fax

(818) 305-6252

NPI assigned

Jun 11, 2015

Last updated

Oct 17, 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

Gregory Mikitarian

Title

Cfo

Phone

(818) 791-4182

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1043691371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436308",
            "telephone_number": "818-305-6255",
            "fax_number": "818-305-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-305-6255",
            "fax_number": "818-305-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7124 Ventura Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914053404",
            "country_code": "US",
            "telephone_number": "818-436-5464",
            "fax_number": "818-785-9686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY GRACE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MIKITARIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-791-4182"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Urbina, ANP-BC
• Brisa D Valdovinos Solorio
• Miguel Valencia, MSW
• Lilibeth Valenzuela, RNFA
• Valley Community Healthcare
• Valley High School
• Valley Village
• Valley Village
• Valor Academy Elementary School
• Valor Academy High School

• Skilled Nursing Facility in North Hills, CA
• Providers in North Hills, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.