Healthcare Provider Details

I. General information

NPI: 1962330597
Provider Name (Legal Business Name): SAINT MARIAM'S CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15649 CHASE ST
NORTH HILLS CA
91343-6464
US

IV. Provider business mailing address

15649 CHASE ST
NORTH HILLS CA
91343-6464
US

V. Phone/Fax

Practice location:
  • Phone: 747-236-4613
  • Fax:
Mailing address:
  • Phone: 747-236-4613
  • 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: OFELYA MKRTCHYAN
Title or Position: LICENSEE
Credential:
Phone: 747-236-4613