Healthcare Provider Details

I. General information

NPI: 1881076990
Provider Name (Legal Business Name): PARAGON CONGREGATE LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 E ELMWOOD AVE
BURBANK CA
91501-1530
US

IV. Provider business mailing address

834 E ELMWOOD AVE
BURBANK CA
91501-1530
US

V. Phone/Fax

Practice location:
  • Phone: 888-820-5353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: HAROUT MARKARIAN
Title or Position: CEO
Credential:
Phone: 888-820-5353