MOUNTAIN VIEW CONGREGATE LIVING, INC. (NPI# 1891352019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891352019 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VIEW CONGREGATE LIVING, INC. |
| Practice Address |
9001 Riderwood Dr Sunland CA 91040-2628 |
| Mailing Address |
2165 Monte Vista St Pasadena CA 91107-2448 |
| Practice Telephone | 6267866927 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | GRIGOR DAVIDAGAYAN (CEO) |
| Authorized Official Telephone | 6267866927 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
9001 RIDERWOOD DR |
| City | SUNLAND |
| State | CA |
| Zip Code | 91040-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013420983 | Klarinda Barkhordarian Boghosian | Pharmacist | 11000 Scoville Ave, Sunland, CA 91040 | 2017-11-14 |
| 1356735369 | Medex Pharmacies Corp | Pharmacy | 8441 Foothill Boulvard, Sunland, CA 91040 | 2015-03-27 |
| 1992196083 | Pulse Health Facility, Inc. | Skilled Nursing Facility | 8410 Grenoble Street, Sunland, CA 91040 | 2015-02-10 |
| 1750640967 | Pad Diagnostics Inc | General Practice | 10823 Odell Ave, Sunland, CA 91040 | 2012-05-08 |
| 1932485091 | Freedom Hospice Inc | Home Health | 8138 Foothill Blvd Suite ., 250, Sunland, CA 91040 | 2011-11-02 |
| 1184946766 | Kristina Ann Drossos | Psychologist | 8664 Leberthon Street, Sunland, CA 91040 | 2010-02-23 |
| 1013063841 | Canyon Home II | Intermediate Care Facility, Mentally Retarded | 8611 Wentworth, Sunland, CA 91040 | 2007-01-26 |
| 1750483103 | Homeira Firoozeh & Mahvash Emami Sadr Inc | Dentist | 7902 Foothill Blvd, Sunland, CA 91040 | 2006-09-05 |
| 1215992615 | Pandian Paul Vibooshanan | Pediatrics | 8316 Food Hills Blvd, Sunland, CA 91040 | 2006-04-19 |
| 1972823441 | Kim Soheila Pourahmad | Pharmacist | 10465 Sunland Blvd, Rite-aid Pharmacy, Sunland, CA 91040 | 2010-06-08 |
| Find all providers in zip 91040 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217974 | At Awe LLC | Residential Treatment Facility, Physical Disabilities | 10876 Morning Ridge Dr, Moreno Valley, CA 92557-4202 | 2020-05-22 |
| 1558980896 | Viewcrest Congregate Living | Residential Treatment Facility, Physical Disabilities | 7831 Melita Ave, North Hollywood, CA 91605-1820 | 2020-04-15 |
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1518515618 | Dashonia Shaw | Residential Treatment Facility, Physical Disabilities | 3053 N Delno Ave, Fresno, CA 93705-4015 | 2019-08-31 |
| 1114572385 | Twet, LLC | Residential Treatment Facility, Physical Disabilities | 1682 Daybreak Pl, Escondido, CA 92027-1023 | 2019-08-05 |
| 1144873308 | Resurgence California, LLC | Residential Treatment Facility, Physical Disabilities | 3129 Pierce Ave, Costa Mesa, CA 92626-2827 | 2019-07-17 |
| 1174014153 | Fresno Congregate Living Inc | Residential Treatment Facility, Physical Disabilities | 3110 E Sierra Ave, Fresno, CA 93710-5917 | 2018-05-24 |
| 1871090803 | Prestige Care Center | Residential Treatment Facility, Physical Disabilities | 474 Sunday Dr, Turlock, CA 95382-9625 | 2018-04-06 |
| 1699281584 | Derani Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 7344 Etiwanda Ave, Reseda, CA 91335-3103 | 2017-12-14 |
| 1336661057 | Tak Care | Residential Treatment Facility, Physical Disabilities | 2280 N Girasol Ave, Palm Springs, CA 92262-2885 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.