Saint Nick Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAINT NICK ASSISTED LIVING

Practice address

17177 San Jose St
Granada Hills, CA 91344-6242

Phone

(818) 403-1803

NPI assigned

Nov 20, 2025

Organization subpart

No

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

Authorized official

Name

Mary Yegeyan

Title

Owner

Phone

(818) 403-1803

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1881555779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446242",
            "telephone_number": "818-403-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17177 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446242",
            "telephone_number": "818-403-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT NICK ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "YEGEYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-403-1803"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Granada Hills, CA
• Providers in Granada Hills, 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 Nov 20, 2025; 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.