Granada Hills Care Homes

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

GRANADA HILLS CARE HOMES

Practice address

11014 Monogram Ave
Granada Hills, CA 91344-5216

Phone

(747) 300-2170

Fax

(818) 475-1540

NPI assigned

Mar 4, 2017

Organization subpart

No

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

Authorized official

Name

Arsen Andreasyan

Title

Chief Executive Officer

Phone

(818) 203-7779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245770676. Details of each certification follow.

• CCN 55G784 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G784

Legal name

GRANADA HILLS CARE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 19, 2019

Last certification

Apr 9, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

11014 Monogram Avenue
Granada Hills, CA 91344

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1245770676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 MONOGRAM AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445216",
            "telephone_number": "747-300-2170",
            "fax_number": "818-475-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 MONOGRAM AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445216",
            "telephone_number": "747-300-2170",
            "fax_number": "818-475-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA HILLS CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDREASYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-203-7779"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armineh Gorkian, NP
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• Granada Hills Boarding Care Facility
• Granada Hills Charter
• Granada Hills Convalescent Hospital, Inc (Granada Hills Care Center)
• Granada Hills Dental Group
• Granada Hills Detox Center, Inc.
• Granada Hills Home Health Care Inc

• Intellectual Disabilities Intermediate Care Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.