PIERCE CONGREGATE LIVING LLC
NPI 1548804255
Skilled Nursing Facility in Pacoima, CA

Active since November 06, 2019CLIA 05D2203777 · Waiver
12430 PIERCE ST, PACOIMA, CA 91331(818) 307-3675 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, Nov 6, 2019 (2 updates tracked since 2019).

About Pierce Congregate Living Llc NPPES

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

PIERCE CONGREGATE LIVING LLC (NPI 1548804255) is a healthcare organization registered as a skilled nursing facility in Pacoima, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Davit Zargaryan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1548804255
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePIERCE CONGREGATE LIVING LLC
Location Address12430 PIERCE STPacoima, CA 91331-1522
Mailing Address12430 Pierce StPacoima, CA 91331-1522
Organization SubpartNo
Authorized OfficialDavit ZargaryanAdministrator · (818) 307-3675
Enumeration DateNovember 6, 2019
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
NPI 1548804255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
12430 PIERCE ST, Pacoima, CA 91331

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 05D2203777

Pierce Congregate Living LLC · Pacoima, CA
Active · expires Dec 5, 2026
CLIA Number05D2203777
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDr. Manuel Manrique
Laboratory Phone(818) 307-3675
Laboratory LocationPierce Congregate Living LLC12430 Pierce St, Pacoima, CA 91331
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 Pierce Congregate Living LLC's NPI number?

The NPI number for Pierce Congregate Living LLC is 1548804255. It was assigned to this organization in the NPPES registry on November 6, 2019.

Where is Pierce Congregate Living LLC located?

Pierce Congregate Living LLC is located at 12430 Pierce St, Pacoima, CA 91331. The listed phone number is (818) 307-3675.

What is Pierce Congregate Living LLC's specialty?

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

Does Pierce Congregate Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203777) is associated with this NPI, valid through December 5, 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 Pierce Congregate Living LLC was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.