NEW ERA CONGREGATE LIVING FACILITY LLC
NPI 1639676661
Skilled Nursing Facility in Beaumont, CA

Active since April 06, 2018CLIA 05D2180637 · Waiver
1180 SEA LAVENDER LN, BEAUMONT, CA 92223(951) 236-1095(951) 689-6856 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 29, 2021, Oct 23, 2020 (2 updates tracked since 2020).

About New Era Congregate Living Facility Llc NPPES

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

NEW ERA CONGREGATE LIVING FACILITY LLC (NPI 1639676661) is a healthcare organization registered as a skilled nursing facility in Beaumont, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Akua Birago, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639676661
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNEW ERA CONGREGATE LIVING FACILITY LLC
Location Address1180 SEA LAVENDER LNBeaumont, CA 92223-8469
Mailing Address1180 Sea Lavender LnBeaumont, CA 92223-8469 · (951) 236-1095 · Fax (951) 689-6856
Fax(951) 689-6856
Organization SubpartNo
Authorized OfficialAkua BiragoCeo · (951) 236-1095
Enumeration DateApril 6, 2018
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
✔ NPI 1639676661 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 · 245024
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.
1180 SEA LAVENDER LN, Beaumont, CA 92223

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 05D2180637

New Era Congregate Living Facility LLC · Beaumont, CA
Active · expires Mar 17, 2028
CLIA Number05D2180637
Laboratory TypeCongregate Living Health
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorAncel J. Rogers
Laboratory Phone(951) 236-1095
Laboratory LocationNew Era Congregate Living Facility LLC1180 Sea Lavender Lane, Beaumont, CA 92223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Registered Nurse
1180 SEA LAVENDER LN
BEAUMONT, CA 92223

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 New Era Congregate Living Facility LLC's NPI number?

The NPI number for New Era Congregate Living Facility LLC is 1639676661. It was assigned to this organization in the NPPES registry on April 6, 2018.

Where is New Era Congregate Living Facility LLC located?

New Era Congregate Living Facility LLC is located at 1180 Sea Lavender Ln, Beaumont, CA 92223. The listed phone number is (951) 236-1095.

What is New Era Congregate Living Facility LLC's specialty?

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

Does New Era Congregate Living Facility LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2180637) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Era Congregate Living Facility LLC was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.