Organization Active NPI

Adastra Adult Care Inc.

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1265236137
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ADASTRA ADULT CARE INC.
Practice address
10747 Gothic Ave
Granada Hills, CA 91344-5231
Phone
(323) 327-8554
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ariel Mastov
Title
Administrator
Phone
(323) 327-8662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10747 Gothic Ave
Granada Hills, CA 91344-5231

Mailing address

7939 Cowper Ave
West Hills, CA 91304-6101
Phone (323) 327-8554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1265236137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 COWPER AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913046101",
            "telephone_number": "323-327-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10747 GOTHIC AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445231",
            "telephone_number": "323-327-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADASTRA ADULT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MASTOV",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-327-8662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.