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MT SAN ANTONIO GARDENS
NPI 1609859461
Skilled Nursing Facility in Pomona, CA

Active since November 25, 2005CLIA 05D0564291 · Waiver
5/5
Overall Rating
900 E HARRISON AVE, POMONA, CA 91767(909) 624-5061(909) 626-2126 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mt San Antonio Gardens NPPES

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

MT SAN ANTONIO GARDENS (NPI 1609859461) is a healthcare organization registered as a skilled nursing facility in Pomona, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Patricia Williams, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1609859461
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCONGREGATIONAL HOMES
Location Address900 E HARRISON AVEPomona, CA 91767-2075
Mailing Address900 E Harrison AvePomona, CA 91767-2075 · (909) 624-5061 · Fax (909) 626-2126
Phone(909) 624-5061
Fax(909) 626-2126
Organization SubpartNo
Authorized OfficialPatricia WilliamsC.f.o. · (909) 399-1281
Enumeration DateNovember 25, 2005
Last NPPES UpdateJuly 20, 2016
✔ NPI 1609859461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 950000078
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 ListedAssisted Living FacilityTaxonomy 310400000X · License 191500496 (CA)
900 E HARRISON AVE, Pomona, CA 91767
Open in Google Maps ↗

Other Names 1

Doing Business AsMt San Antonio Gardens

Other Identifiers 2

Medicare ID-Type Unspecified556516CA · Rehab
Medicare OSCAR/certification055016CA

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 05D0564291

Mt San Antonio Gardens · Pomona, CA
Active · expires Aug 31, 2026
CLIA Number05D0564291
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDaljinder Takhar
Laboratory Phone(909) 624-5061
Laboratory LocationMt San Antonio Gardens900 E Harrison Ave, Pomona, CA 91767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Mount San Antonio Gardens (CMS certification number 055016), from CMS Care Compare.

Mount San Antonio Gardens

Nursing home · Pomona, CA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number055016
Certified Beds64 beds38 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
34.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.5 · LPN 1.84 · RN 0.7
6.05 hrs per resident per day
Weekend Nurse Staffing
4.8 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
17.5%
Registered Nurse Turnover
44.4%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY HO OTR/L
Occupational Therapist
900 E HARRISON AVE
POMONA, CA 91767
Los Angeles County (626) 483-9712
MS. CATHERINE CHANG LETHERER PA-C
Physician Assistant
900 E HARRISON AVE
POMONA, CA 91767
Los Angeles County (909) 624-5061
MARGARET HARARI
Social Worker (Clinical)
900 E HARRISON AVE
POMONA, CA 91767
Los Angeles County (909) 482-0507

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 Congregational Homes's NPI number?

The NPI number for Congregational Homes is 1609859461. It was assigned to this organization in the NPPES registry on November 25, 2005. The provider is doing business as Mt San Antonio Gardens.

Where is Congregational Homes located?

Congregational Homes is located at 900 E Harrison Ave, Pomona, CA 91767. The listed phone number is (909) 624-5061.

What is Congregational Homes's specialty?

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

Does Congregational Homes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0564291) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Congregational Homes a Medicare-certified nursing home?

Yes. Mount San Antonio Gardens is a Medicare-certified nursing home with 64 certified beds.

What quality rating does Congregational Homes have?

CMS rates Mount San Antonio Gardens 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Congregational Homes was last updated on July 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.