Seniors Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIORS HAVEN LLC

Practice address

1831 N Kenwood St
Burbank, CA 91505-1418

Phone

(818) 281-9439

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Adle Mendoza

Title

Owner/Member/Administrator

Phone

(818) 281-9439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1104525922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N KENWOOD ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051418",
            "telephone_number": "818-281-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N KENWOOD ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051418",
            "telephone_number": "818-281-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ADLE",
        "authorized_official_title_or_position": "OWNER/MEMBER/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-281-9439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Burbank, CA
• Providers in Burbank, 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 Mar 1, 2023; 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.