Organization Active NPI

Guardian Angels Board and Care

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1396542585
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GUARDIAN ANGELS BOARD AND CARE
Practice address
11786 Encino Ave
Granada Hills, CA 91344-2209
Phone
(323) 630-6309
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Gor Khurshudyan
Title
Ceo
Phone
(323) 630-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11786 Encino Ave
Granada Hills, CA 91344-2209

Mailing address

11786 Encino Ave
Granada Hills, CA 91344-2209
Phone (323) 630-6309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1396542585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 ENCINO AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442209",
            "telephone_number": "323-630-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 ENCINO AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442209",
            "telephone_number": "323-630-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGELS BOARD AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "KHURSHUDYAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-630-6309"
    },
    "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 Feb 26, 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.