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GLEN PARK AT VALLEY VILLAGE
NPI 1942484837
Alzheimer Center (Dementia Center) in Valley Village, CA

Active since December 27, 2007
5527 LAUREL CANYON BLVD, VALLEY VILLAGE, CA 91607(818) 769-6626(818) 761-2199 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Park At Valley Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN PARK AT VALLEY VILLAGE (NPI 1942484837) is a healthcare organization registered as an alzheimer center (dementia center) in Valley Village, California and active in the NPI registry since December 2007. The organization lists Tillman Pink, President, as its authorized official.

NPPES Registry Identity

NPI1942484837
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameGLEN PARK AT VALLEY VILLAGE
Location Address5527 LAUREL CANYON BLVDValley Village, CA 91607-2116
Mailing Address1220 Mariposa St, Laurel Canyon Retirement Co Glen Park RetirementGlendale, CA 91205-3245 · (818) 242-9000 · Fax (818) 242-3972
Phone(818) 769-6626
Fax(818) 761-2199
Organization SubpartNo
Authorized OfficialTillman PinkPresident · (818) 769-6626
Enumeration DateDecember 27, 2007
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1942484837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in CA · 197603165
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
5527 LAUREL CANYON BLVD, Valley Village, CA 91607
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Other Identifiers 1

MedicaidRCF00032FCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL CANYON RETIREMENT COMMUNITY, INC
Assisted Living Facility
5527 LAUREL CANYON BLVD
VALLEY VILLAGE, CA 91607
Los Angeles County (818) 769-6626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Park At Valley Village's NPI number?

The NPI number for Glen Park At Valley Village is 1942484837. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Glen Park At Valley Village located?

Glen Park At Valley Village is located at 5527 Laurel Canyon Blvd, Valley Village, CA 91607. The listed phone number is (818) 769-6626.

What is Glen Park At Valley Village's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Glen Park At Valley Village was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.