Provider Demographics
NPI:1568205268
Name:VILLA GRANADA ASSISTED LIVING
Entity type:Organization
Organization Name:VILLA GRANADA ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAROYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-516-8819
Mailing Address - Street 1:17412 TILFORD CT
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-1929
Mailing Address - Country:US
Mailing Address - Phone:360-559-0000
Mailing Address - Fax:
Practice Address - Street 1:17412 TILFORD CT
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-1929
Practice Address - Country:US
Practice Address - Phone:360-559-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility