Organization Active NPI

Nirvana Gardens Assisted Living LLC

  • Assisted Living Facility
  • Van Nuys, CA
National Provider Identifier
1912709429
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NIRVANA GARDENS ASSISTED LIVING LLC
Practice address
15801 Hart St
Van Nuys, CA 91406-5013
Phone
(323) 870-7077
Fax
(818) 475-5224
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Christina Gabuzyan
Title
Ceo
Phone
(323) 925-6629

Specialties & licenses 1

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

Addresses

Primary practice location

15801 Hart St
Van Nuys, CA 91406-5013

Mailing address

15801 Hart St
Van Nuys, CA 91406-5013
Phone (323) 870-7077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1912709429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065013",
            "telephone_number": "323-870-7077",
            "fax_number": "818-475-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065013",
            "telephone_number": "323-870-7077",
            "fax_number": "818-475-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA GARDENS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GABUZYAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-925-6629"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.