Active NPI
Santa Clarita Congregate Living Inc.
- Skilled Nursing Facility
- Santa Clarita, CA
National Provider Identifier
1083223481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SANTA CLARITA CONGREGATE LIVING INC.
- Practice address
- 29830 Wistaria Valley Rd
Santa Clarita, CA 91387-1954 - Phone
- (818) 523-0729
- Fax
- (661) 857-8293
- NPI assigned
- Jul 31, 2020
- Last updated
- Sep 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aksel Abramyan, R.N., B.S.N.
- Title
- Owner
- Phone
- (818) 523-0729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
29830 Wistaria Valley Rd
Santa Clarita, CA 91387-1954
Mailing address
29830 Wistaria Valley Rd
Santa Clarita, CA 91387-1954
Phone (818) 523-0729
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2230443 | Santa Clarita Congregate Living Inc. | Certificate of waiver | Jul 22, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1083223481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29830 WISTARIA VALLEY RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913871954",
"telephone_number": "818-523-0729",
"fax_number": "661-857-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29830 WISTARIA VALLEY RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913871954",
"telephone_number": "818-523-0729",
"fax_number": "661-857-8293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CLARITA CONGREGATE LIVING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-31",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A",
"authorized_official_last_name": "ABRAMYAN",
"authorized_official_first_name": "AKSEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-523-0729",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N., B.S.N."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.