MEDICARE: COLDWATER S.V.Z.D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1548111396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLDWATER S.V.Z.D INC

Provider Business Mailing Address
First Line	:	7808 COLDWATER CANYON AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2026
Country	:	US
Telephone Number	:	818-501-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	7808 COLDWATER CANYON AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2026
Country	:	US
Telephone Number	:	818-501-9002
Fax Number	:

Authorized Official
Title or Position	:	LICENSEE
Name	:	HAKOB TOROSYAN
Credential	:
Telephone Number	:	818-501-9002

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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