Organization Active NPI

Olive Branch Estate Inc.

  • Assisted Living Facility
  • Granada Hills, CA
National Provider Identifier
1902798747
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OLIVE BRANCH ESTATE INC.
Practice address
17107 Mandarin CT
Granada Hills, CA 91344-2309
Phone
(818) 318-4040
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Marine Gazdzhyan
Title
Manager
Phone
(818) 568-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17107 Mandarin CT
Granada Hills, CA 91344-2309

Mailing address

17107 Mandarin CT
Granada Hills, CA 91344-2309
Phone (818) 318-4040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1902798747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17107 MANDARIN CT",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442309",
            "telephone_number": "818-318-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17107 MANDARIN CT",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442309",
            "telephone_number": "818-318-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH ESTATE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "GAZDZHYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-568-6443"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.