HAMNER CONGREGATE CARE
NPI 1013726801
Skilled Nursing Facility in Eastvale, CA

Active since January 06, 2025CLIA 05D2348887 · Waiver
7121 MACKINAW CT, EASTVALE, CA 91752(951) 847-5476(951) 363-3200 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hamner Congregate Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMNER CONGREGATE CARE (NPI 1013726801) is a healthcare organization registered as a skilled nursing facility in Eastvale, California and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2028 and lists Lesley S Vannoy, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1013726801
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAMNER CONGREGATE CARE
Location Address7121 MACKINAW CTEastvale, CA 91752-1492
Mailing Address7056 Archibald Ave Ste 102-322Eastvale, CA 92880-8713 · (951) 847-5476 · Fax (951) 363-3200
Fax(951) 363-3200
Organization SubpartNo
Authorized OfficialLesley S VannoyCeo/owner · (951) 847-5476
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1013726801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
7121 MACKINAW CT, Eastvale, CA 91752

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2348887

Hamner Congregate Care · Eastvale, CA
Active · expires Aug 11, 2028
CLIA Number05D2348887
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 12, 2026
Certificate Expiration DateAugust 11, 2028
Laboratory DirectorPeter Mattar
Laboratory Phone(951) 847-5476
Laboratory LocationHamner Congregate Care7121 Mackinaw Court, Eastvale, CA 91752
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
7121 MACKINAW CT
EASTVALE, CA 91752
Nurse Practitioner
7121 MACKINAW CT
EASTVALE, CA 91752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hamner Congregate Care's NPI number?

The NPI number for Hamner Congregate Care is 1013726801. It was assigned to this organization in the NPPES registry on January 6, 2025.

Where is Hamner Congregate Care located?

Hamner Congregate Care is located at 7121 Mackinaw Ct, Eastvale, CA 91752. The listed phone number is (951) 847-5476.

What is Hamner Congregate Care's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Hamner Congregate Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2348887) is associated with this NPI, valid through August 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hamner Congregate Care was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.