Organization Active NPI

Saint Marys Residential Care

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1366303257
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAINT MARYS RESIDENTIAL CARE
Practice address
17177 1/2 San Jose St
Granada Hills, CA 91344-6242
Phone
(818) 403-1803
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
Mary Yegeyan
Title
Owner
Phone
(818) 403-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17177 1/2 San Jose St
Granada Hills, CA 91344-6242

Mailing address

17177 1/2 San Jose St
Granada Hills, CA 91344-6242
Phone (818) 403-1803

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": "1366303257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 1/2 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446242",
            "telephone_number": "818-403-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 1/2 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446242",
            "telephone_number": "818-403-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARYS RESIDENTIAL 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": "YEGEYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-403-1803"
    },
    "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 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.