Organization Active NPI

Blue Horizon Eldercare LLC

  • Assisted Living Facility
  • North Hollywood, CA
National Provider Identifier
1790628766
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLUE HORIZON ELDERCARE LLC
Practice address
11727 Blythe St
North Hollywood, CA 91605-2521
Phone
(818) 640-4703
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Zhanna Davtian
Title
Licensee
Phone
(818) 640-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11727 Blythe St
North Hollywood, CA 91605-2521

Mailing address

11727 Blythe St
North Hollywood, CA 91605-2521
Phone (818) 640-4703

National Provider Directory

National Provider Directory
Tax ID family
Blue Horizon Eldercare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1790628766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11727 BLYTHE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052521",
            "telephone_number": "818-640-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11727 BLYTHE ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052521",
            "telephone_number": "818-640-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON ELDERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVTIAN",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-640-4703"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.