Four Seasons Assisted Living Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

191201666 Issued in CA

Legal business name

FOUR SEASONS ASSISTED LIVING CENTER LLC

Practice address

12120 Chandler Blvd
North Hollywood, CA 91607-2002

Phone

(818) 487-0770

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Mitch Reichman

Title

Administrator

Phone

(323) 634-1940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1750650990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 CHANDLER BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916072002",
            "telephone_number": "818-487-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 CHANDLER BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916072002",
            "telephone_number": "818-487-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS ASSISTED LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "REICHMAN",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-634-1940"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191201666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Fortaleza, D.O.
• Cecilia Marie Foster, B.A
• Four Life Hospice Care, Inc.
• Four M Medical Mart a Medical Corporation
• Four Rivers Management Corporation
• Four Seasons Healthcare & Wellness Center, LP
• Tiffani Fox
• Irvin Fragoso
• Kristen O. Franco, RDHAP
• Kasie Frazer, LCSW

• Assisted Living Facility in North Hollywood, CA
• Providers in North Hollywood, 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 Dec 16, 2011; 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.