MAYANE CONGREGATE LIVING
NPI 1194231605
Skilled Nursing Facility in Granada Hills, CA

Active since December 19, 2017CLIA 05D2190145 · Waiver
17227 SIMONDS ST, GRANADA HILLS, CA 91344(818) 292-3213(844) 673-7586 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mayane Congregate Living NPPES

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

MAYANE CONGREGATE LIVING (NPI 1194231605) is a healthcare organization registered as a skilled nursing facility in Granada Hills, California and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Hrant Hovhanissyan, President, as its authorized official.

NPPES Registry Identity

NPI1194231605
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAYANE CONGREGATE LIVING
Location Address17227 SIMONDS STGranada Hills, CA 91344-3512
Mailing Address17227 Simonds StGranada Hills, CA 91344-3512 · (818) 292-3213 · Fax (844) 673-7586
Fax(844) 673-7586
Organization SubpartNo
Authorized OfficialHrant HovhanissyanPresident · (818) 292-3213
Enumeration DateDecember 19, 2017
NPI 1194231605 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.
17227 SIMONDS ST, 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 05D2190145

Mayane Congregate Living · Granada Hills, CA
Active · expires Aug 9, 2026
CLIA Number05D2190145
Laboratory TypeClhf
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorSuman Patel
Laboratory Phone(818) 488-1982
Laboratory LocationMayane Congregate Living17227 Simonds Street, Granada Hills, CA 91344
CLIA data matches this NPI record on: Address Name
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 Mayane Congregate Living's NPI number?

The NPI number for Mayane Congregate Living is 1194231605. It was assigned to this organization in the NPPES registry on December 19, 2017.

Where is Mayane Congregate Living located?

Mayane Congregate Living is located at 17227 Simonds St, Granada Hills, CA 91344. The listed phone number is (818) 292-3213.

What is Mayane Congregate Living's specialty?

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

Does Mayane Congregate Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2190145) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mayane Congregate Living was last updated on December 19, 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.