Organization Active NPI

Maddie'S Green Haven Facility

  • Assisted Living Facility
  • Van Nuys, CA
National Provider Identifier
1306797220
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MADDIE'S GREEN HAVEN FACILITY
Practice address
7460 Mammoth Ave
Van Nuys, CA 91405-1505
Phone
(661) 383-3477
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Junaida Shakhvaladyan
Title
Ceo
Phone
(661) 383-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7460 Mammoth Ave
Van Nuys, CA 91405-1505

Mailing address

7460 Mammoth Ave
Van Nuys, CA 91405-1505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1306797220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 MAMMOTH AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 MAMMOTH AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051505",
            "telephone_number": "661-383-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDIE'S GREEN HAVEN FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "SHAKHVALADYAN",
        "authorized_official_first_name": "JUNAIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-383-3477"
    },
    "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 Feb 6, 2026; 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.