Provider Demographics
NPI:1760812101
Name:MONTROSE COMFORT LIVING AND CARE, INC
Entity type:Organization
Organization Name:MONTROSE COMFORT LIVING AND CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-330-9857
Mailing Address - Street 1:4339 BRIGGS AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1107
Mailing Address - Country:US
Mailing Address - Phone:818-330-9857
Mailing Address - Fax:818-330-9856
Practice Address - Street 1:4339 BRIGGS AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1107
Practice Address - Country:US
Practice Address - Phone:818-330-9857
Practice Address - Fax:818-330-9856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility