Healthcare Provider Details

I. General information

NPI: 1396670410
Provider Name (Legal Business Name): ALTHEA SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21827 ELKWOOD ST
CANOGA PARK CA
91304-4853
US

IV. Provider business mailing address

21827 ELKWOOD ST
CANOGA PARK CA
91304-4853
US

V. Phone/Fax

Practice location:
  • Phone: 818-522-2787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KARINE GASPARYAN
Title or Position: CEO
Credential:
Phone: 818-522-2787