Organization Active NPI

Caroline in Heaven LLC

  • Assisted Living Facility
  • Sylmar, CA
National Provider Identifier
1164788592
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608006 Issued in CA
Legal business name
CAROLINE IN HEAVEN LLC
Doing business as
CAROLINE'S CHATEAU
Practice address
14132 Hubbard St
Sylmar, CA 91342-4712
Phone
(818) 361-0880
Fax
(818) 361-0256
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mrs. Virginia Martirossian
Title
Administrator/Licensee
Phone
(818) 361-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608006 CA Primary

Addresses

Primary practice location

14132 Hubbard St
Sylmar, CA 91342-4712

Mailing address

14132 Hubbard St
Sylmar, CA 91342-4712
Phone (818) 361-0880

Other names 1

  • CAROLINE'S CHATEAU Doing business as

National Provider Directory

National Provider Directory

Locations

14132 Hubbard St
Sylmar, CA 91342
Phone (818) 361-0880

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1164788592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14132 HUBBARD ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424712",
            "telephone_number": "818-361-0880",
            "fax_number": "818-361-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14132 HUBBARD ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424712",
            "telephone_number": "818-361-0880",
            "fax_number": "818-361-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE IN HEAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTIROSSIAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "818-361-0880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINE'S CHATEAU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.