NPIMap

Organization Active NPI

Canby Retirement Corporation

  • Assisted Living Facility
  • Reseda, CA
National Provider Identifier
1417216151
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197603652 Issued in CA
Legal business name
CANBY RETIREMENT CORPORATION
Doing business as
Ambassador Garden
Practice address
7324 Canby Ave
Reseda, CA 91335-3010
Phone
(818) 705-3404
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Ms. Mara Gudis
Title
President
Phone
(818) 305-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197603652 CA Primary

Addresses

Primary practice location

7324 Canby Ave
Reseda, CA 91335-3010

Mailing address

7324 Canby Ave
Reseda, CA 91335-3010
Phone (818) 705-3404

Other names 1

  • Ambassador Garden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ambassador Garden2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1417216151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353010",
            "telephone_number": "818-705-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353010",
            "telephone_number": "818-705-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANBY RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "GUDIS",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-305-2701",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197603652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambassador Garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.