Grant Serenity on Charlotte, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANT SERENITY ON CHARLOTTE, INC.

Practice address

5588 N Charlotte Ave
San Gabriel, CA 91776-1621

Phone

(818) 425-6797

Fax

(818) 953-9091

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Nvard Gevorkian, CEO

Title

Ceo

Phone

(818) 425-6797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1407685183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N REESE PL",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061956",
            "telephone_number": "818-425-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5588 N CHARLOTTE AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761621",
            "telephone_number": "818-425-6797",
            "fax_number": "818-953-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SERENITY ON CHARLOTTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GEVORKIAN",
        "authorized_official_first_name": "NVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-425-6797",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.