Healthcare Provider Details
I. General information
NPI: 1699565713
Provider Name (Legal Business Name): MUCH LIKE HOME CONGREGATE LIVING HEALTH FACILITY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16452 BLACKHAWK ST
GRANADA HILLS CA
91344-6731
US
IV. Provider business mailing address
16452 BLACKHAWK ST
GRANADA HILLS CA
91344-6731
US
V. Phone/Fax
- Phone: 747-300-2189
- Fax:
- Phone: 747-300-2189
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MARIA SHELLA
DE MESA
ROGAS
Title or Position: CONSULTANT
Credential:
Phone: 626-347-1144