Healthcare Provider Details

I. General information

NPI: 1790601649
Provider Name (Legal Business Name): CHERISHED MOMENTS LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28125 BAKERTON AVE
CANYON COUNTRY CA
91351-1216
US

IV. Provider business mailing address

28125 BAKERTON AVE
CANYON COUNTRY CA
91351-1216
US

V. Phone/Fax

Practice location:
  • Phone: 818-445-9195
  • 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: MARINA ACOBIANCE
Title or Position: CEO
Credential:
Phone: 818-445-9195