Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Residential Senior Care

Organization Assisted Living Facility · NPI 1063199982

Prime Residential Senior Care is an Assisted Living Facility in Reseda, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

19418 Lanark St
Reseda, CA 91335-1013
Phone: (818) 626-8553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X

Record details

NPI number1063199982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sofya Khechikyan — Administrator · (818) 858-3553
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 1, 2023
Mailing address19418 Lanark St, Reseda, CA 91335-1013

Other providers in Reseda