Healthcare Provider Details

I. General information

NPI: 1689510612
Provider Name (Legal Business Name): FAMILY TREE ELDER CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7709 ATOLL AVE
NORTH HOLLYWOOD CA
91605-1831
US

IV. Provider business mailing address

7709 ATOLL AVE
NORTH HOLLYWOOD CA
91605-1831
US

V. Phone/Fax

Practice location:
  • Phone: 323-527-4125
  • 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 StateNULL

VIII. Authorized Official

Name: HASMIK ELIZBARYAN
Title or Position: CEO
Credential:
Phone: 323-527-4125