Supreme Recuperative Care

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SUPREME RECUPERATIVE CARE

Practice address

10462 Yarmouth Ave
Granada Hills, CA 91344-5932

Phone

(818) 322-0098

Fax

(818) 322-0089

NPI assigned

Jun 5, 2023

Last updated

Jun 6, 2023By 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

Gevorg Grigoryan

Title

Ceo

Phone

(818) 322-0098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1215621081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10462 YARMOUTH AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445932",
            "telephone_number": "818-322-0098",
            "fax_number": "818-322-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10462 YARMOUTH AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445932",
            "telephone_number": "818-322-0098",
            "fax_number": "818-322-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME RECUPERATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-322-0098"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.