Organization Active NPI

Senior Living Norwoods Hacienda

  • Assisted Living Facility
  • San Diego, CA
National Provider Identifier
1457132128
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR LIVING NORWOODS HACIENDA
Practice address
4149 Rolando Blvd
San Diego, CA 92115-6813
Phone
(818) 858-7543
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Linet Manasyan
Title
Ceo
Phone
(818) 858-7543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4149 Rolando Blvd
San Diego, CA 92115-6813

Mailing address

17404 Martha St
Encino, CA 91316-1323
Phone (818) 858-7543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1457132128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17404 MARTHA ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161323",
            "telephone_number": "818-858-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 ROLANDO BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156813",
            "telephone_number": "818-858-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING NORWOODS HACIENDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MANASYAN",
        "authorized_official_first_name": "LINET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-858-7543"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.