MEDICARE: CARING HEART ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1659171577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEART ASSISTED LIVING

Provider Business Mailing Address
First Line	:	7246 WILBUR AVE
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-2653
Country	:	US
Telephone Number	:	818-453-3351
Fax Number	:

Provider Business Practice Location Address
First Line	:	7246 WILBUR AVE
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-2653
Country	:	US
Telephone Number	:	818-453-3351
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GREG KEVEYAN
Credential	:
Telephone Number	:	818-453-3351

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/03/2026

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Directions to “CARING HEART ASSISTED LIVING ” Practice Location

Language	Start Address	Practice Location

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