CALIFORNIA CONGREGATE LIVING
NPI 1477062412
Skilled Nursing Facility in Simi Valley, CA

Active since September 21, 2017CLIA 05D2156918 · Waiver
2333 YOSEMITE AVE, SIMI VALLEY, CA 93063(805) 285-7858(805) 335-6878 Get Directions Write a Review

NPPES record last updated: September 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About California Congregate Living NPPES

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

CALIFORNIA CONGREGATE LIVING (NPI 1477062412) is a healthcare organization registered as a skilled nursing facility in Simi Valley, California and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Richard Dow Perrine, Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1477062412
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFOR SENIOR CARE , LLC
Location Address2333 YOSEMITE AVESimi Valley, CA 93063-3540
Mailing Address19808 Ahwanee LnPorter Ranch, CA 91326-4121 · (818) 581-8304
Fax(805) 335-6878
Organization SubpartNo
Authorized OfficialRichard Dow PerrineOperations Officer · (818) 581-8304
Enumeration DateSeptember 21, 2017
NPI 1477062412 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.
2333 YOSEMITE AVE, Simi Valley, CA 93063

Other Names 1

Doing Business AsCalifornia Congregate Living

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 05D2156918

For Senior Care LLC Dba California Congregate Living · Simi Valley, CA
Active · expires Oct 25, 2026
CLIA Number05D2156918
Laboratory TypeCongregate Living Healthc
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorSiamak P. Etehad
Laboratory Phone(805) 285-7858
Laboratory LocationFor Senior Care LLC Dba California Congregate Living2333 Yosemite Ave, Simi Valley, CA 93063
CLIA data matches this NPI record on: Address Name 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 For Senior Care , LLC's NPI number?

The NPI number for For Senior Care , LLC is 1477062412. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as California Congregate Living.

Where is For Senior Care , LLC located?

For Senior Care , LLC is located at 2333 Yosemite Ave, Simi Valley, CA 93063. The listed phone number is (805) 285-7858.

What is For Senior Care , LLC's specialty?

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

Does For Senior Care , LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2156918) is associated with this NPI, valid through October 25, 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 For Senior Care , LLC was last updated on September 21, 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.