VALLEY GRACE HOME, INC.
NPI 1043691371
Skilled Nursing Facility in North Hills, CA

Active since June 11, 2015CLIA 05D2162305 · Waiver
16052 CHASE ST, NORTH HILLS, CA 91343(818) 305-6255(818) 305-6252 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Dec 8, 2021, Jan 25, 2021 and 1 more (4 updates tracked since 2019).

About Valley Grace Home, Inc. NPPES

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

VALLEY GRACE HOME, INC. (NPI 1043691371) is a healthcare organization registered as a skilled nursing facility in North Hills, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through February 19, 2027, maintains a secondary practice location in Van Nuys, and lists Gregory Mikitarian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043691371
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVALLEY GRACE HOME, INC.
Location Address16052 CHASE STNorth Hills, CA 91343
Mailing Address16052 Chase StNorth Hills, CA 91343-6308 · (818) 305-6255 · Fax (818) 305-6252
Fax(818) 305-6252
Organization SubpartNo
Authorized OfficialGregory MikitarianCfo · (818) 791-4182
Enumeration DateJune 11, 2015
Last NPPES UpdateOctober 17, 20244 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1043691371 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.
16052 CHASE ST, North Hills, CA 91343

Secondary Practice Location 1

Location 17124 Ventura Canyon AveVan Nuys, CA 91405-3404 · Phone (818) 436-5464 · Fax (818) 785-9686

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 05D2162305

Valley Grace Home, Inc · North Hills, CA
Active · expires Feb 19, 2027
CLIA Number05D2162305
Laboratory TypeCongregate Living Fac
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorSuman N. Patel
Laboratory Phone(818) 305-6255
Laboratory LocationValley Grace Home, Inc16052 Chase Street, North Hills, CA 91343
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Valley Grace Home, Inc.'s NPI number?

The NPI number for Valley Grace Home, Inc. is 1043691371. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Valley Grace Home, Inc. located?

Valley Grace Home, Inc. is located at 16052 Chase St, North Hills, CA 91343. The listed phone number is (818) 305-6255.

What is Valley Grace Home, Inc.'s specialty?

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

Does Valley Grace Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162305) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Grace Home, Inc. was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.