Healthcare Provider Details

I. General information

NPI: 1477499580
Provider Name (Legal Business Name): BRIGHTSTAR SENIOR HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16439 BIRCHER ST
GRANADA HILLS CA
91344-2918
US

IV. Provider business mailing address

16439 BIRCHER ST
GRANADA HILLS CA
91344-2918
US

V. Phone/Fax

Practice location:
  • Phone: 818-383-6467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NARINEH OHANIAN
Title or Position: LICENSEE
Credential:
Phone: 818-383-6467