Socal Dream's Rcfe

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOCAL DREAM'S RCFE

Practice address

11812 Randall St
Sun Valley, CA 91352-3846

Phone

(818) 747-7017

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By 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

Mariam Maria Demirchian

Title

Administrtaor

Phone

(818) 751-4116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1639074172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 RANDALL ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523846",
            "telephone_number": "818-747-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 RANDALL ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523846",
            "telephone_number": "818-747-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL DREAM'S RCFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "DEMIRCHIAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRTAOR",
        "authorized_official_telephone_number": "818-751-4116"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.