Organization Active NPI

Santa Clarita Congregate Living Inc.

  • Skilled Nursing Facility
  • Santa Clarita, CA
National Provider Identifier
1083223481
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2230443Santa Clarita Congregate Living Inc.29830 Wistaria Valley Road, Santa Clarita, CA 91387Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.