ANTELOPE VALLEY CARE CENTER
NPI 1083302350
Skilled Nursing Facility in Lancaster, CA

Active since April 25, 2023CLIA 05D0880902 · Waiver
44567 15TH ST W, LANCASTER, CA 93534(661) 949-5524 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Antelope Valley Care Center NPPES

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

ANTELOPE VALLEY CARE CENTER (NPI 1083302350) is a healthcare organization registered as a skilled nursing facility in Lancaster, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1083302350
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameANTELOPE VALLEY SNF HEALTHCARE, LLC
Location Address44567 15TH ST WLancaster, CA 93534-2803
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateApril 25, 2023
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1083302350 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.
44567 15TH ST W, Lancaster, CA 93534

Other Names 1

Doing Business AsAntelope Valley Care Center

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 05D0880902

Antelope Valley Care Center · Lancaster, CA
Active · expires Dec 27, 2027
CLIA Number05D0880902
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorAtef Mousa
Laboratory Phone(661) 949-5524
Laboratory LocationAntelope Valley Care Center44567 N 15th St W, Lancaster, CA 93534
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Occupational Therapy Assistant
44567 15TH ST W
LANCASTER, CA 93534
Physical Therapy Assistant
44567 15TH ST W
LANCASTER, CA 93534
Occupational Therapy Assistant
44567 15TH ST W
LANCASTER, CA 93534
Skilled Nursing Facility
44567 15TH ST W
LANCASTER, CA 93534
Occupational Therapist
44567 15TH ST W
LANCASTER, CA 93534
Occupational Therapist
44567 15TH ST W
LANCASTER, CA 93534

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 Antelope Valley Snf Healthcare, LLC's NPI number?

The NPI number for Antelope Valley Snf Healthcare, LLC is 1083302350. It was assigned to this organization in the NPPES registry on April 25, 2023. The provider is doing business as Antelope Valley Care Center.

Where is Antelope Valley Snf Healthcare, LLC located?

Antelope Valley Snf Healthcare, LLC is located at 44567 15th St W, Lancaster, CA 93534. The listed phone number is (661) 949-5524.

What is Antelope Valley Snf Healthcare, LLC's specialty?

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

Does Antelope Valley Snf Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0880902) is associated with this NPI, valid through December 27, 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 Antelope Valley Snf Healthcare, LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.