Active NPI
Chatsworth Assisted Living
- Assisted Living Facility
- Chatsworth, CA
National Provider Identifier
1174367510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CHATSWORTH ASSISTED LIVING
- Practice address
- 20210 Tuba St
Chatsworth, CA 91311-3448 - Phone
- (818) 731-2646
- NPI assigned
- Jun 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Georgiy Danielyan
- Title
- Ceo
- Phone
- (818) 731-2646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
20210 Tuba St
Chatsworth, CA 91311-3448
Mailing address
20210 Tuba St
Chatsworth, CA 91311-3448
Phone (818) 731-2646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725753600000",
"number": "1174367510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20210 TUBA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913113448",
"telephone_number": "818-731-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20210 TUBA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913113448",
"telephone_number": "818-731-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATSWORTH ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2024-09-08",
"certification_date": "2024-09-08",
"status": "A",
"authorized_official_last_name": "DANIELYAN",
"authorized_official_first_name": "GEORGIY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-731-2646"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.