Grant Serenity of del Mar , Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRANT SERENITY OF DEL MAR , INC.

Practice address

3049 E del Mar Blvd
Pasadena, CA 91107-4425

Phone

(818) 425-6797

Fax

(818) 953-9091

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Nvard Gevorkian, CEO

Title

Ceo

Phone

(818) 425-6797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1770312456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N REESE PL",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061956",
            "telephone_number": "818-425-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 E DEL MAR BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074425",
            "telephone_number": "818-425-6797",
            "fax_number": "818-953-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SERENITY OF DEL MAR , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GEVORKIAN",
        "authorized_official_first_name": "NVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-425-6797",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edgelle Granflor
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• Grant Serenity Homes of Sierra Madre, Inc.
• Devin Nathaniel Grant
• Donald Emmanuel Grant Jr., PSYD
• Piper Spurgeon Grant
• Gil J Grattan, PSY.D.
• Lance Eugene Gravely, MD

• Assisted Living Facility in Pasadena, CA
• Providers in Pasadena, 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 Jul 30, 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.