Encino Terrace, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ENCINO TERRACE, LLC

Doing business as

NA

Practice address

16025 Ventura Blvd
Encino, CA 91436-4451

Phone

(310) 497-6497

NPI assigned

May 17, 2024

Last updated

May 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Nafisi

Title

Member

Phone

(310) 497-6497

Specialties & licenses 1

Addresses

Other names 1

• NA Doing business as

Locations

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1932958170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BELLAIRE AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073418",
            "telephone_number": "310-497-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16025 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364451",
            "telephone_number": "310-497-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "NAFISI",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-497-6497"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Encino, CA
• Providers in Encino, 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 May 20, 2024; 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.