Senior Congregate Living, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SENIOR CONGREGATE LIVING, INC.

Practice address

11847 Balboa Blvd
Granada Hills, CA 91344-2754

Phone

(747) 300-2379

Fax

(747) 300-2999

NPI assigned

Aug 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mia VitteNPI 1699975813

Title

Administrator

Phone

(310) 272-6666

Specialties & licenses 4

Addresses

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mia Vitte, MA, MFT

  • Nursing Home Administrator
  • Granada Hills, CA
  • NPI 1699975813
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1093149072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11847 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11847 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442754",
            "telephone_number": "747-300-2379",
            "fax_number": "747-300-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CONGREGATE LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "VITTE",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-272-6666"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Scott, MFT
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• Michelle Sedeno
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• Nardine Seif, PHARMACIST
• Serenity Bridge Wellness Center, LLC.
• Serenity Living Board & Care
• Serenity Within, Marriage and Family Therapy, Inc.
• Mary Agnes Severino-Clemente, PT
• Aram Sexenian

• Skilled Nursing Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.