Aeris Congregate Living
Organization Active NPI Skilled Nursing Facility · Upland, CA
NPI 1336059369 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1336059369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- AERIS CONGREGATE LIVING
- Practice address
- 1213 N Vallejo Way
Upland, CA 91786-3052 - Phone
- (714) 408-8996
- Fax
- (951) 625-3967
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Toby Miclat
- Title
- LLC Member
- Phone
- (714) 408-8996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1213 N Vallejo Way
Upland, CA 91786-3052
Mailing address
1213 N Vallejo Way
Upland, CA 91786-3052
Phone (714) 408-8996
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All providers in Upland, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.