OrganizationActive
Sprs
NPI 1134585151 · Pediatric Skilled Nursing Facility · Granada Hills, CA
Provider details
- NPI number
- 1134585151
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Cohen, Physical Therapist(818) 986-1977
- License
- SP5019 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17922 San Fernando Mission Blvd
Granada Hills, CA 91344-4043
Phone: (818) 360-1864
Street-level locationGet directions
Mailing address
16260 Ventura Blvd
Encino, CA 91436-2203
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.