SENIOR CONGREGATE LIVING, INC.
NPI 1093149072
Skilled Nursing Facility in Granada Hills, CA

Active since August 27, 2013CLIA 05D2089789 · Waiver
11847 BALBOA BLVD, GRANADA HILLS, CA 91344(747) 300-2379(747) 300-2999 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2017, Jan 11, 2016 (2 updates tracked since 2016).

About Senior Congregate Living, Inc. NPPES

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

SENIOR CONGREGATE LIVING, INC. (NPI 1093149072) is a healthcare organization registered as a skilled nursing facility in Granada Hills, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Mia Vitte, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093149072
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSENIOR CONGREGATE LIVING, INC.
Location Address11847 BALBOA BLVDGranada Hills, CA 91344-2754
Mailing Address11847 Balboa BlvdGranada Hills, CA 91344-2754
Fax(747) 300-2999
Organization SubpartNo
Authorized OfficialMia VitteAdministrator · (310) 272-6666
Enumeration DateAugust 27, 2013
Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration
NPI 1093149072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
11847 BALBOA BLVD, Granada Hills, CA 91344

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 05D2089789

Senior Congregate Living Inc · Granada Hills, CA
Active · expires Jan 7, 2027
CLIA Number05D2089789
Laboratory TypeTissue Bank/Repositories
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorSuman N. Patel, MD
Laboratory Phone(747) 300-2379
Laboratory LocationSenior Congregate Living Inc11847 Balboa Blvd, Granada Hills, CA 91344
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

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

Nursing Home Administrator
11847 BALBOA BLVD
GRANADA HILLS, CA 91344

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 Senior Congregate Living, Inc.'s NPI number?

The NPI number for Senior Congregate Living, Inc. is 1093149072. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is Senior Congregate Living, Inc. located?

Senior Congregate Living, Inc. is located at 11847 Balboa Blvd, Granada Hills, CA 91344. The listed phone number is (747) 300-2379.

What is Senior Congregate Living, Inc.'s specialty?

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

Does Senior Congregate Living, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2089789) is associated with this NPI, valid through January 7, 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 Senior Congregate Living, Inc. was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.