Organization Active NPI

Gretchen Manor Inc.

  • Assisted Living Facility
  • Winnetka, CA
National Provider Identifier
1982206413
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRETCHEN MANOR INC.
Practice address
20849 Gretchen St
Winnetka, CA 91306-4016
Phone
(818) 992-8590
Fax
(818) 772-9747
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Miss Jessica Aquintey
Title
Ceo
Phone
(818) 648-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

20849 Gretchen St
Winnetka, CA 91306-4016

Mailing address

10753 Lurline Ave
Chatsworth, CA 91311-1634
Phone (818) 648-5402

Other names 1

  • GRETCHEN HAVEN Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1982206413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 LURLINE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111634",
            "telephone_number": "818-648-5402",
            "fax_number": "818-772-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20849 GRETCHEN ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913064016",
            "telephone_number": "818-992-8590",
            "fax_number": "818-772-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "AQUINTEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-648-5402",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRETCHEN HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.