BURBANK CONGREGATE LIVING CENTER, INC (NPI# 1790145654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790145654 |
| Entity Type | Organization |
| Organization Name | BURBANK CONGREGATE LIVING CENTER, INC |
| Practice Address |
1100 Leland Way Burbank CA 91504-4113 |
| Practice Telephone | 8185385434 |
| Practice Fax Number | 8183011255 |
| Mailing Telephone | 8185385434 |
| Mailing Fax Number | 8183011255 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | KRISITNE ALEKSANIAN (CEO) |
| Authorized Official Telephone | 8185385434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
1100 LELAND WAY |
| City | BURBANK |
| State | CA |
| Zip Code | 91504-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235707 | Anna Melikyan | Specialist/Technologist | 508 Eton Dr, Burbank, CA 91504 | 2018-11-29 |
| 1477929628 | Seville Circle Inc. | Assisted Living Facility | 1900 Grismer Ave., Burbank, CA 91504 | 2015-08-11 |
| 1164840062 | Nuhope Hospice, Inc | Hospice Care, Community Based | 2601 N. Lamer St, Burbank, CA 91504 | 2014-03-29 |
| 1568771046 | Holding Hands, Inc. | Early Intervention Provider Agency | 2101 N. Glenoaks Blvd., Burbank, CA 91504 | 2010-09-30 |
| 1992980106 | Therese Marie Golingay Donnelly | Nurse Practitioner | 2025 North Glenoaks Blvd, Suite 102, Burbank, CA 91504 | 2008-01-07 |
| 1952598930 | Absolute Control Transitional Counseling Center, Inc. | Community/Behavioral Health | 3111 Winona Ave. # 201, Burbank, CA 91504 | 2007-10-03 |
| 1184788358 | Svetlana Liljegren | Dentist | 928 N San Fernando Bl, E, Burbank, CA 91504 | 2006-12-21 |
| 1467522243 | Vivian Blas | Marriage & Family Therapist | 4405 Riverside Dr, Suite 106, Burbank, CA 91504 | 2006-11-08 |
| 1285727180 | Albert F Daher | Pharmacist | 2200 N Glen Oaks Blvd, Burbank, CA 91504 | 2006-10-02 |
| 1730283391 | Gregory M Brooks | Dentist | 903 N San Fernando Blvd, Ste #1, Burbank, CA 91504 | 2006-09-12 |
| Find all providers in zip 91504 | ||||
| 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 |
| 1891352019 | Mountain View Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 9001 Riderwood Dr, Sunland, CA 91040-2628 | 2019-05-22 |
| 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 |
| 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.