Colony Care of Sherman Oaks / Valley Glen, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONY CARE OF SHERMAN OAKS / VALLEY GLEN, LLC

Practice address

5420 Tyrone Ave
Sherman Oaks, CA 91401-5122

Phone

(559) 284-1597

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By 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

George Kutnerian

Title

Manager

Phone

(559) 284-1597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1568030351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 TYRONE AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015122",
            "telephone_number": "559-284-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 TYRONE AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015122",
            "telephone_number": "559-284-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY CARE OF SHERMAN OAKS / VALLEY GLEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "KUTNERIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-284-1597"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.