# SHERMAN OAKS CONGREGATE LIVING CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609236561
- **Authorized official:** ANNA SAFRAZBEKIAN (CEO)
- **Authorized official phone:** (818) 571-4338

## Contact information

- **Practice address:** 4637 NAGLE AVE, SHERMAN OAKS, CA 91423-3227
- **Practice address phone:** (818) 878-8528
- **Practice address fax:** (818) 450-1485
- **Mailing address:** 4637 NAGLE AVE, SHERMAN OAKS, CA 91423-3227
- **Mailing address phone:** (818) 878-8528
- **Mailing address fax:** (818) 450-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 02/12/2019