NPIMap

Organization Active NPI

Gretchen Manor

  • Assisted Living Facility
  • Winnetka, CA
National Provider Identifier
1780011320
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197606564 Issued in CA
Legal business name
GRETCHEN MANOR
Practice address
20849 Gretchen St
Winnetka, CA 91306-4016
Phone
(818) 648-5402
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Mrs. Christine Loyola
Title
Ceo
Phone
(818) 648-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197606564 CA Primary

Addresses

Primary practice location

20849 Gretchen St
Winnetka, CA 91306-4016

Mailing address

10753 Lurline Ave
Chatsworth, CA 91311-1634
Phone (818) 648-5402

Other names 1

  • quartz garden, pleasant valley manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
E and C Aquintey Medical Supply4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1780011320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 LURLINE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111634",
            "telephone_number": "818-648-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20849 GRETCHEN ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064016",
            "telephone_number": "818-648-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "LOYOLA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-648-5402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197606564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "quartz garden, pleasant valley manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.