OAK GROVE MANOR, LLC
NPI 1295519031
Skilled Nursing Facility in San Bernardino, CA

Active since August 22, 2023CLIA 05D2319603 · Waiver
3148 ARDEN AVE, SAN BERNARDINO, CA 92404(818) 433-1696 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Grove Manor, Llc NPPES

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

OAK GROVE MANOR, LLC (NPI 1295519031) is a healthcare organization registered as a skilled nursing facility in San Bernardino, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Ellee Posner, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1295519031
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOAK GROVE MANOR, LLC
Location Address3148 ARDEN AVESan Bernardino, CA 92404-3506
Mailing Address3148 Arden AveSan Bernardino, CA 92404-3506
Organization SubpartNo
Authorized OfficialEllee PosnerOperations Manager · (818) 433-1696
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
NPI 1295519031 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.
3148 ARDEN AVE, San Bernardino, CA 92404

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 05D2319603

Oak Grove Manor, LLC · San Bernardino, CA
Active · expires Mar 3, 2027
CLIA Number05D2319603
Laboratory TypeCongregate Living Health
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorFarbod Farmand
Laboratory Phone(818) 281-5822
Laboratory LocationOak Grove Manor, LLC3148 Arden Avenue, San Bernardino, CA 92404
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 Oak Grove Manor, LLC's NPI number?

The NPI number for Oak Grove Manor, LLC is 1295519031. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Oak Grove Manor, LLC located?

Oak Grove Manor, LLC is located at 3148 Arden Ave, San Bernardino, CA 92404. The listed phone number is (818) 433-1696.

What is Oak Grove Manor, LLC's specialty?

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

Does Oak Grove Manor, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319603) is associated with this NPI, valid through March 3, 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 Oak Grove Manor, LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.