Organization Active NPI

Alf Management Group Inc

Doing business as Glen Terra Assisted Living

  • Assisted Living Facility
  • Glendale, CA
National Provider Identifier
1124571526
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608367 Issued in CA
Legal business name
ALF MANAGEMENT GROUP INC
Doing business as
Glen Terra Assisted Living
Practice address
917 N Louise St
Glendale, CA 91207-2084
Phone
(818) 291-9220
Fax
(818) 291-9856
NPI assigned
Aug 2, 2016
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Haikuhe Chichyan
Title
Ceo
Phone
(818) 291-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608367 CA Primary

Addresses

Primary practice location

917 N Louise St
Glendale, CA 91207-2084

Mailing address

917 N Louise St
Glendale, CA 91207-2084
Phone (818) 291-9220

Other names 1

  • Glen Terra Assisted Living Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1124571526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072084",
            "telephone_number": "818-291-9220",
            "fax_number": "818-291-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072084",
            "telephone_number": "818-291-9220",
            "fax_number": "818-291-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CHICHYAN",
        "authorized_official_first_name": "HAIKUHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-291-9220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Terra Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.