CHINO AVENUE CONGREGATE HOME INC
NPI 1477914679
Skilled Nursing Facility in Chino, CA

Active since March 15, 2016CLIA 05D2127937 · Waiver
3408 CHINO AVE, CHINO, CA 91710(909) 270-3293(909) 635-6476 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 21, 2016, Mar 15, 2016 (2 updates tracked since 2016).

About Chino Avenue Congregate Home Inc NPPES

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

CHINO AVENUE CONGREGATE HOME INC (NPI 1477914679) is a healthcare organization registered as a skilled nursing facility in Chino, California and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Steven Martinson, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1477914679
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHINO AVENUE CONGREGATE HOME INC
Location Address3408 CHINO AVEChino, CA 91710-4714
Mailing AddressPo Box 62Brea, CA 92822-0062 · (714) 747-6546 · Fax (909) 635-6476
Fax(909) 635-6476
Organization SubpartNo
Authorized OfficialSteven MartinsonExecutive Assistant · (714) 747-6546
Enumeration DateMarch 15, 2016
Last NPPES UpdateOctober 21, 20162 updates tracked since enumeration
NPI 1477914679 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.
3408 CHINO AVE, Chino, CA 91710

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 05D2127937

Chino Avenue Congregate Home Inc. · Chino, CA
Active · expires Mar 21, 2027
CLIA Number05D2127937
Laboratory TypeCongregate Living Hlth Fa
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorJonathan Leung, MD
Laboratory Phone(909) 270-3293
Laboratory LocationChino Avenue Congregate Home Inc.3408 Chino Avenue, Chino, CA 91710
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 Chino Avenue Congregate Home Inc's NPI number?

The NPI number for Chino Avenue Congregate Home Inc is 1477914679. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is Chino Avenue Congregate Home Inc located?

Chino Avenue Congregate Home Inc is located at 3408 Chino Ave, Chino, CA 91710. The listed phone number is (909) 270-3293.

What is Chino Avenue Congregate Home Inc's specialty?

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

Does Chino Avenue Congregate Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2127937) is associated with this NPI, valid through March 21, 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 Chino Avenue Congregate Home Inc was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.