Organization Active NPI

Elmcroft Congregate Inc

  • Skilled Nursing Facility
  • Norwalk, CA
National Provider Identifier
1669216826
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ELMCROFT CONGREGATE INC
Practice address
14003 Elmcroft Ave
Norwalk, CA 90650-3713
Phone
(626) 494-2899
Fax
(310) 496-1830
NPI assigned
Jun 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Francis MartirNPI 1396589552
Title
Administrator
Phone
(562) 474-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

14003 Elmcroft Ave
Norwalk, CA 90650-3713

Mailing address

14003 Elmcroft Ave
Norwalk, CA 90650-3713
Phone (626) 494-2899

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
05D2323743Elmcroft Congregate Inc14003 Elmcroft Ave, Norwalk, CA 90650Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1669216826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14003 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503713",
            "telephone_number": "626-494-2899",
            "fax_number": "310-496-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14003 ELMCROFT AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503713",
            "telephone_number": "626-494-2899",
            "fax_number": "310-496-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMCROFT CONGREGATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "MARTIR",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-474-1130"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.