Sunnyside Residential Assisted Living for the Elderly LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608152 Issued in CA

Legal business name

SUNNYSIDE RESIDENTIAL ASSISTED LIVING FOR THE ELDERLY LLC.

Practice address

9200 Haddon Ave
Sun Valley, CA 91352-1310

Phone

(818) 414-8887

Fax

(818) 767-1976

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Lilit Manukyan, LICENSEE

Title

Administratior

Phone

(818) 414-8887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1437556768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 HADDON AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521310",
            "telephone_number": "818-414-8887",
            "fax_number": "818-767-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 HADDON AVE",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521310",
            "telephone_number": "818-414-8887",
            "fax_number": "818-767-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE RESIDENTIAL ASSISTED LIVING FOR THE ELDERLY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "LILIT",
        "authorized_official_title_or_position": "ADMINISTRATIOR",
        "authorized_official_telephone_number": "818-414-8887",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LICENSEE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Sung, MA, CF-SLP
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• Sunland Pharmacy Incorporated
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• Sunrise Sunset Hospice, Inc.
• Marjan Taheri, D.D.S
• Kristina Tanglimsamarnsuk
• Myranda Barbo Teixeira, RD

• Assisted Living Facility in Sun Valley, CA
• Providers in Sun Valley, 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 Dec 2, 2014; 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.