Provider Demographics
NPI:1548894843
Name:NORTH HILLS RETIREMENT HOTEL, INC.
Entity type:Organization
Organization Name:NORTH HILLS RETIREMENT HOTEL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRIETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-353-4875
Mailing Address - Street 1:10215 BALBOA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-1615
Mailing Address - Country:US
Mailing Address - Phone:818-368-8581
Mailing Address - Fax:818-368-8583
Practice Address - Street 1:10215 BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-1615
Practice Address - Country:US
Practice Address - Phone:818-368-8581
Practice Address - Fax:818-368-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility