FOREVER ACTIVE CBAS NPI 1528538857

NPI Information

  • NPI: 1528538857
  • Provider Name: FOREVER ACTIVE CBAS
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • CLIA Number: 05D2170545
  • Address: 1111 W GLENOAKS BLVD
    GLENDALE, CA
    ZIP 91202
  • Phone: (818) 489-0463

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NPI Details

FOREVER ACTIVE CBAS is an adult day care clinic center in Glendale, CA. FOREVER ACTIVE CBAS NPI is 1528538857. The provider is registered as an organization entity type.

The provider's business location address is:

1111 W GLENOAKS BLVD
GLENDALE, CA
ZIP 91202
Phone: (818) 489-0463

The provider's authorized official is Ashken Arsenyan .
The authorized official title is Administrator and has the following contact phone number (818) 489-0463.

The CLIA number assigned to this NPI record is 05D2170545 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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