COMMUNITY CARE CENTER
NPI 1639344898
Skilled Nursing Facility in Duarte, CA

Active since April 28, 2008CLIA 05D0555422 · Waiver
2335 MOUNTAIN AVE, DUARTE, CA 91010(626) 357-3207(626) 303-1113 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Community Care Center NPPES

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

COMMUNITY CARE CENTER (NPI 1639344898) is a healthcare organization registered as a skilled nursing facility in Duarte, California and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Doug Easton, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639344898
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBROADWATER COMMUNITY CARE CENTER, LLC
Location Address2335 MOUNTAIN AVEDuarte, CA 91010-3559
Mailing Address2335 Mountain AveDuarte, CA 91010-3559 · (626) 357-3207 · Fax (626) 303-1113
Fax(626) 303-1113
Organization SubpartYesParent: Parkstone Holdings, Llc
Authorized OfficialDoug EastonManaging Member · (702) 308-7191
Enumeration DateApril 28, 2008
NPI 1639344898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 950000051
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.

2335 MOUNTAIN AVE, Duarte, CA 91010

Other Names 1

Doing Business AsCommunity Care Center

Other Identifiers 1

Medicare OSCAR/certification05A109CA

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 05D0555422

Community Care Center · Duarte, CA
Active · expires Aug 31, 2026
CLIA Number05D0555422
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNitin Nanda
Laboratory Phone(626) 357-3207
Laboratory LocationCommunity Care Center2335 S Mountain Ave, Duarte, CA 91010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Skilled Nursing Facility
2335 MOUNTAIN AVE
DUARTE, CA 91010
Skilled Nursing Facility
2335 MOUNTAIN AVE
DUARTE, CA 91010
Student in an Organized Health Care Education/Training Program
2335 MOUNTAIN AVE
DUARTE, CA 91010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639344898, enumerated as an "organization" on April 28, 2008.

The provider is located at 2335 MOUNTAIN AVE DUARTE, CA 91010 and the phone number is (626) 357-3207.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.