New Age Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEW AGE SENIOR LIVING

Practice address

9049 Petit Ave
Northridge, CA 91343-4017

Phone

(818) 378-2772

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 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

Edgar Ghazaryan

Title

Owner

Phone

(818) 378-2772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1952171381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 PETIT AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434017",
            "telephone_number": "818-378-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9049 PETIT AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434017",
            "telephone_number": "818-378-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-378-2772"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.