Healthcare Provider Details

I. General information

NPI: 1699696823
Provider Name (Legal Business Name): FOREVER YOUNG SENIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 SHOSHONE AVE
NORTHRIDGE CA
91325-2042
US

IV. Provider business mailing address

9501 SHOSHONE AVE
NORTHRIDGE CA
91325-2042
US

V. Phone/Fax

Practice location:
  • Phone: 818-207-4220
  • 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: YELENA ALADADYAN
Title or Position: CEO
Credential:
Phone: 818-207-4220