MEDICARE: BLUE HORIZON ELDERCARE LLC

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	:	1689517658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE HORIZON ELDERCARE LLC

Provider Business Mailing Address
First Line	:	11729 BLYTHE ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2521
Country	:	US
Telephone Number	:	818-640-4703
Fax Number	:

Provider Business Practice Location Address
First Line	:	11729 BLYTHE ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2521
Country	:	US
Telephone Number	:	818-640-4703
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZHANNA DAVTIAN
Credential	:
Telephone Number	:	818-640-4703

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

Similar Medicare Providers

1790628766 — BLUE HORIZON ELDERCARE LLC
Practice Location Address:

11727 BLYTHE ST
NORTH HOLLYWOOD, CA
91605-2521

Practice Phone: 818-640-4703
Practice Fax:

1659497972 — AKHTAR GOLBAHAR
Practice Location Address:

10847 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-2521

Practice Phone: 818-324-1156
Practice Fax: 818-508-1726

1790261709 — JENNIFER DORREN LEONARD BEHAVIOR TECHNICIAN
Practice Location Address:

2521 LINCOLN ST APT 102
HOLLYWOOD, FL
33020-3957

Practice Phone: 786-757-9072
Practice Fax:

1073591715 — DR. MANUEL F FORERO MD
Practice Location Address:

287 NORTH ST
MEADVILLE, PA
16335-2521

Practice Phone: 814-337-2355
Practice Fax: 814-337-3751

1700824992 — MEDCARE ENTERPRISES INC
Practice Location Address:

12404 BISCAYNE BLVD , SUITE A
NORTH MIAMI, FL
33181-2521

Practice Phone: 305-300-9241
Practice Fax: 305-541-6565

1972543262 — SOUTH BAY REHAB
Practice Location Address:

12404 BISCAYNE BLVD , SUITE B
NORTH MIAMI, FL
33181-2521

Practice Phone: 305-300-9241
Practice Fax: 305-541-6565

Directions to “BLUE HORIZON ELDERCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.