Provider Demographics
NPI:1457747834
Name:VALLEY VIEW CONGREGATE LIVING
Entity type:Organization
Organization Name:VALLEY VIEW CONGREGATE LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALADJANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-370-5003
Mailing Address - Street 1:7800 ATOLL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1837
Mailing Address - Country:US
Mailing Address - Phone:323-370-5003
Mailing Address - Fax:
Practice Address - Street 1:7800 ATOLL AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1837
Practice Address - Country:US
Practice Address - Phone:323-370-5003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-12
Last Update Date:2015-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid