MT SAN ANTONIO GARDENS
NPI 1609859461
Skilled Nursing Facility in Pomona, CA
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, 2028 and lists Patricia Williams, C.f.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mt San Antonio Gardens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mt San Antonio Gardens, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CANursing 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, CACMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
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.
Is Congregational Homes enrolled in Medicare?
Yes. Congregational Homes is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Congregational Homes?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Congregational Homes. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Congregational Homes hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0564291) is associated with this NPI, valid through August 31, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.