GLEN TERRA ASSISTED LIVING (NPI# 1124571526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124571526 |
| Entity Type | Organization |
| Organization Name | GLEN TERRA ASSISTED LIVING |
| Practice Address |
917 N Louise St Glendale CA 91207-2084 |
| Practice Telephone | 8182919220 |
| Practice Fax Number | 8182919856 |
| Mailing Telephone | 8182919220 |
| Mailing Fax Number | 8182919856 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | TERRY RECORDS (GENERAL MANAGER) |
| Authorized Official Telephone | 8182919220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 197608367 | CA | Nursing & Custodial Care Facilities |
| Street Address |
917 N LOUISE ST |
| City | GLENDALE |
| State | CA |
| Zip Code | 91207-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986640 | Mariel Krystel V Llamas | Pharmacist | 150 E Glenoaks Blvd, Glendale, CA 91207 | 2019-11-11 |
| 1992287445 | Paul Meserkhani Dds Inc | Clinic/Center | 620 E Glenoaks Blvd Ste B, Glendale, CA 91207 | 2018-08-31 |
| 1760720775 | Mery Mkrtchian | Behavioral Analyst | 402 East Dryden St, #1, Glendale, CA 91207 | 2013-01-25 |
| 1518215177 | Lusine Dishigrikyan | Pharmacist | 108 E. Kenneth Road, Glendale, CA 91207 | 2012-08-29 |
| 1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1215147681 | Pia Bravo Padillo | Physical Therapist | 1254 North Everrett St, Glendale, CA 91207 | 2007-05-23 |
| 1710106455 | Avi Amit | Physical Therapist | 333 E Glenoaks Blvd Ste 204, Glendale, CA 91207 | 2007-04-24 |
| 1689733081 | San Cristobal Medical Group Inc | General Practice | 610 N. Central Avenue, Suite109, Los Angeles, CA 91207 | 2006-12-08 |
| 1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
| Find all providers in zip 91207 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228316 | Unique Family To Family Adult Care Home, LLC | Assisted Living Facility | 6981 W Villa Hermosa, Glendale, AZ 85310-5855 | 2020-09-03 |
| 1225673759 | Trinity Assisted Living | Assisted Living Facility | 4541 W Paradise Ln, Glendale, AZ 85306-2729 | 2019-11-07 |
| 1952954489 | Jubilee In The Desert, LLC | Assisted Living Facility | 4321 W Cholla St, Glendale, AZ 85304-3531 | 2019-07-23 |
| 1962054536 | Vema Corporation | Assisted Living Facility | 4802 W Gelding Dr, Glendale, AZ 85306-4438 | 2019-07-12 |
| 1013487180 | Ludovica Rodica Malutan | Assisted Living Facility | 5019 W Paradise Ln, Glendale, AZ 85306-2655 | 2018-11-30 |
| 1144790601 | Terra Pointe Care, LLC | Assisted Living Facility | 5330 W Union Hills Dr, Glendale, AZ 85308-1311 | 2018-11-27 |
| 1316433493 | Andrei Martin | Assisted Living Facility | 6338 W Port Royale Ln, Glendale, AZ 85306-3260 | 2018-07-02 |
| 1841782638 | Goldwater Legacy Assisted Living LLC | Assisted Living Facility | 6640 W Pinnacle Peak Rd, Glendale, AZ 85310-3409 | 2018-06-06 |
| 1932627494 | Dennis J Tan | Assisted Living Facility | 6979 W Cactus Wren Dr, Glendale, AZ 85303-2684 | 2017-09-05 |
| 1568984037 | Angels Paradise Care Home 2, LLC | Assisted Living Facility | 5582 W Becker Ln, Glendale, AZ 85304-3866 | 2017-07-17 |
| Find all providers in GLENDALE | ||||
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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.