APPLE VALLEY CHRISTIAN CARE CENTER
NPI 1215908090
Skilled Nursing Facility in Apple Valley, CA

Active since January 30, 2006CLIA 05D0726452 · Waiver
11959 APPLE VALLEY ROAD, APPLE VALLEY, CA 92308(760) 240-5051(760) 240-8150 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Apple Valley Christian Care Center NPPES

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

APPLE VALLEY CHRISTIAN CARE CENTER (NPI 1215908090) is a healthcare organization registered as a skilled nursing facility in Apple Valley, California and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles Mack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215908090
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAPPLE VALLEY CHRISTIAN CENTERS
Location Address11959 APPLE VALLEY ROADApple Valley, CA 92308-7507
Mailing Address11959 Apple Valley RoadApple Valley, CA 92308-7507 · (760) 240-5051 · Fax (760) 240-8150
Fax(760) 240-8150
Organization SubpartNo
Authorized OfficialCharles MackCeo · (949) 208-3399
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJanuary 25, 2012
NPI 1215908090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 555476
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.
11959 APPLE VALLEY ROAD, Apple Valley, CA 92308

Other Names 1

Doing Business AsApple Valley Christian Care Center

Other Identifiers 3

Medicare PIN555476
MedicaidLTC55476FCA
Medicare OSCAR/certification555476CA

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 05D0726452

Apple Valley Care Center · Apple Valley, CA
Active · expires Aug 31, 2026
CLIA Number05D0726452
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorImran Siddiqui
Laboratory Phone(760) 240-5051
Laboratory LocationApple Valley Care Center11959 Apple Valley Rd, Apple Valley, CA 92308
CLIA data matches this NPI record on: Address 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 Apple Valley Christian Centers's NPI number?

The NPI number for Apple Valley Christian Centers is 1215908090. It was assigned to this organization in the NPPES registry on January 30, 2006. The provider is doing business as Apple Valley Christian Care Center.

Where is Apple Valley Christian Centers located?

Apple Valley Christian Centers is located at 11959 Apple Valley Road, Apple Valley, CA 92308. The listed phone number is (760) 240-5051.

What is Apple Valley Christian Centers's specialty?

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

Does Apple Valley Christian Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0726452) is associated with this NPI, valid through August 31, 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 Apple Valley Christian Centers was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.