Organization Active NPI

Fallbrook Assisted Living

  • Assisted Living Facility
  • Woodland Hills, CA
National Provider Identifier
1881380590
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FALLBROOK ASSISTED LIVING
Practice address
5504 Fallbrook Ave
Woodland Hills, CA 91367-4326
Phone
(818) 395-9535
Fax
(818) 691-3409
NPI assigned
Apr 14, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Yuliya Asatryan
Title
Administrator
Phone
(818) 395-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5504 Fallbrook Ave
Woodland Hills, CA 91367-4326

Mailing address

6237 Farmdale Ave
North Hollywood, CA 91606-4121
Phone (818) 395-9535

Other practice location 1

15942 Bahama St
North Hills, CA 91343-3128
Phone (818) 395-9535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1881380590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 FARMDALE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064121",
            "telephone_number": "818-395-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 FALLBROOK AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674326",
            "telephone_number": "818-395-9535",
            "fax_number": "818-691-3409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15942 Bahama St",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913433128",
            "country_code": "US",
            "telephone_number": "818-395-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALLBROOK ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-395-9535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.