Hollywood Healthy Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLLYWOOD HEALTHY LIVING LLC

Practice address

8002 Hollywood Way
Sun Valley, CA 91352-4225

Phone

(818) 395-1905

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Gayane Agazaryan

Title

Licensee

Phone

(818) 395-1905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1609637313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 HOLLYWOOD WAY",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524225",
            "telephone_number": "818-395-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 HOLLYWOOD WAY",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524225",
            "telephone_number": "818-395-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD HEALTHY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "AGAZARYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-395-1905"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 19, 2024; 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.