Organization Active NPI

Shady Garden Senior Care

  • Assisted Living Facility
  • Van Nuys, CA
National Provider Identifier
1225999014
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SHADY GARDEN SENIOR CARE
Practice address
7356 Leescott Ave
Van Nuys, CA 91406-2624
Phone
(818) 916-0707
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mrs. Gaiane Egiazarian
Title
Ceo
Phone
(818) 916-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7356 Leescott Ave
Van Nuys, CA 91406-2624

Mailing address

7356 Leescott Ave
Van Nuys, CA 91406-2624

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1225999014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7356 LEESCOTT AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7356 LEESCOTT AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062624",
            "telephone_number": "818-916-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY GARDEN SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "EGIAZARIAN",
        "authorized_official_first_name": "GAIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-916-0707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.