All Valley Congregate Living Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ALL VALLEY CONGREGATE LIVING INC

Practice address

17404 Horace St
Granada Hills, CA 91344-4719

Phone

(818) 459-4995

Fax

(818) 671-1868

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Val Serebryany

Title

Ceo

Phone

(747) 300-9396

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1427418383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 HORACE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444719",
            "telephone_number": "818-459-4995",
            "fax_number": "818-671-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17404 HORACE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444719",
            "telephone_number": "818-459-4995",
            "fax_number": "818-671-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL VALLEY CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SEREBRYANY",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-9396"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.