Organization Active NPI

Anthem Senior Care LLC

  • Assisted Living Facility
  • North Hollywood, CA
National Provider Identifier
1487350211
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ANTHEM SENIOR CARE LLC
Practice address
12813 Friar St
North Hollywood, CA 91606-3021
Phone
(818) 445-0993
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Sofiya Ghazaryan
Title
Licensee
Phone
(818) 445-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12813 Friar St
North Hollywood, CA 91606-3021

Mailing address

12813 Friar St
North Hollywood, CA 91606-3021
Phone (818) 445-0993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1487350211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 FRIAR ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063021",
            "telephone_number": "818-445-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 FRIAR ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063021",
            "telephone_number": "818-445-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "SOFIYA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-445-0993"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.