SUMMERVILLE AT COBBCO, INC. (NPI# 1952631848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952631848 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT COBBCO, INC. |
| Other Organization Name | EMERITUS AT TARZANA |
| Practice Address |
5711 Reseda Blvd Tarzana CA 91356-2201 |
| Mailing Address |
3131 Elliott Ave Ste 500 Seattle WA 98121-1032 |
| Practice Telephone | 8189962022 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Authorized Official Name | NOELLE BICKEL (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2062982909 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMERVILLE SENIOR LIVING, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emeritus at Tarzana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485016 | Summerville At Cobbco, Inc. | Assisted Living Facility | 13250 Philadelphia St, Whittier, CA 90601-4312 | 2019-12-27 |
| 1528398419 | Summerville At Cobbco, Inc. | Assisted Living Facility | 10615 Jordan Rd, Whittier, CA 90603-2932 | 2009-12-28 |
| 1376873257 | Summerville At Cobbco, Inc. | Custodial Care Facility | 426 Piedmont Ave, Glendale, CA 91206-3448 | 2009-12-28 |
| 1952631855 | Summerville At Cobbco, Inc. | Assisted Living Facility | 1031 N Euclid Ave, Ontario, CA 91762-1920 | 2009-12-28 |
| 1467781880 | Summerville At Cobbco, Inc. | Assisted Living Facility | 21000 Mission Blvd, Hayward, CA 94541-1817 | 2009-12-14 |
| 1578892980 | Summerville At Cobbco, Inc. | Custodial Care Facility | 13956 San Pablo Ave, San Pablo, CA 94806-5313 | 2009-12-14 |
| 1881923571 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5900 Chapman Ave, Garden Grove, CA 92845-1604 | 2009-12-09 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1780913475 | Summerville At Cobbco, Inc. | Assisted Living Facility | 5881 El Palomino Dr, Riverside, CA 92509-7006 | 2009-12-09 |
| 1730418559 | Summerville At Cobbco, Inc. | Alzheimer Center (Dementia Center) | 3255 Villa Ln, Napa, CA 94558-3048 | 2009-12-08 |
| Street Address |
5711 RESEDA BLVD |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| 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 |
|---|---|---|---|---|
| 1174185193 | Synergy Flow Inc. | Assisted Living Facility | 18242 Sylvan St, Tarzana, CA 91335-7047 | 2019-06-29 |
| 1760915391 | Imperiumseniorlivingllc | Assisted Living Facility | 5236 Otis Ave, Tarzana, CA 91356-4212 | 2017-04-11 |
| 1275075426 | Tarzana Manor | Assisted Living Facility | 18162 Rancho St, Tarzana, CA 91356-4616 | 2016-11-04 |
| 1720685720 | Tarzana Senior Living, Inc. | Assisted Living Facility | 5236 Otis Ave, Tarzana, CA 91356-4212 | 2020-10-03 |
| 1003360124 | Leisure Village | Assisted Living Facility | 19562 Ventura Blvd Ste 229, Tarzana, CA 91356-7126 | 2016-08-05 |
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| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
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| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| 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.