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VISTAMESA CONGREGATE HOME, INC.
NPI 1316571979
Nursing Care in North Hollywood, CA

Active since February 23, 2020CLIA 05D2137326 · Waiver
12806 ARMINTA ST, NORTH HOLLYWOOD, CA 91605(818) 453-4131 Get Directions Write a Review

NPPES record last updated: February 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Vistamesa Congregate Home, Inc. NPPES

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

VISTAMESA CONGREGATE HOME, INC. (NPI 1316571979) is a healthcare organization registered as a nursing care in North Hollywood, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Movses Juharyan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316571979
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameVISTAMESA CONGREGATE HOME, INC.
Location Address12806 ARMINTA STNorth Hollywood, CA 91605-2018
Mailing Address12806 Arminta StNorth Hollywood, CA 91605-2018 · (818) 453-4131
Phone(818) 453-4131
Organization SubpartNo
Authorized OfficialMovses JuharyanAdministrator · (818) 453-4131
Enumeration DateFebruary 23, 2020
✔ NPI 1316571979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
12806 ARMINTA ST, North Hollywood, CA 91605
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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 05D2137326

Vistamesa Congregate Home, Inc. · N Hollywood, CA
Active · expires Sep 6, 2027
CLIA Number05D2137326
Laboratory TypeCongregate Living
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorSuman Patel
Laboratory Phone(310) 489-4476
Laboratory LocationVistamesa Congregate Home, Inc.12806 Arminta St, N Hollywood, CA 91605
CLIA data matches this NPI record on: 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 Vistamesa Congregate Home, Inc.'s NPI number?

The NPI number for Vistamesa Congregate Home, Inc. is 1316571979. It was assigned to this organization in the NPPES registry on February 23, 2020.

Where is Vistamesa Congregate Home, Inc. located?

Vistamesa Congregate Home, Inc. is located at 12806 Arminta St, North Hollywood, CA 91605. The listed phone number is (818) 453-4131.

What is Vistamesa Congregate Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Vistamesa Congregate Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2137326) is associated with this NPI, valid through September 6, 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 Vistamesa Congregate Home, Inc. was last updated on February 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.