Provider Demographics
NPI:1255933917
Name:QUARTZ HAVEN INC.
Entity type:Organization
Organization Name:QUARTZ HAVEN INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-373-4386
Mailing Address - Street 1:5457 WOODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5832
Mailing Address - Country:US
Mailing Address - Phone:626-373-4386
Mailing Address - Fax:
Practice Address - Street 1:7250 QUARTZ AVE
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3035
Practice Address - Country:US
Practice Address - Phone:818-885-7522
Practice Address - Fax:818-772-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility