CLAREMONT MANOR CARE CENTER
NPI 1760738850
Skilled Nursing Facility in Claremont, CA

Active since July 26, 2012CLIA 05D0888783 · Waiver
621 W BONITA AVE, CLAREMONT, CA 91711(909) 626-3490(909) 626-0648 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Claremont Manor Care Center NPPES

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

CLAREMONT MANOR CARE CENTER (NPI 1760738850) is a healthcare organization registered as a skilled nursing facility in Claremont, California and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Roberta Jacobsen, President, as its authorized official.

NPPES Registry Identity

NPI1760738850
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFRONT PORCH COMMUNITIES OPERATING GROUP LLC
Location Address621 W BONITA AVEClaremont, CA 91711-4513
Mailing Address800 N Brand Blvd Fl 19Glendale, CA 91203-1231 · (818) 254-4100 · Fax (818) 254-4101
Fax(909) 626-0648
Organization SubpartYesParent: Front Porch Communities And Services
Authorized OfficialRoberta JacobsenPresident · (818) 254-4100
Enumeration DateJuly 26, 2012
Last NPPES UpdateSeptember 23, 2015
NPI 1760738850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

621 W BONITA AVE, Claremont, CA 91711

Other Names 1

Doing Business AsClaremont Manor Care Center

Other Identifiers 1

Medicare OSCAR/certification555085CA

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 05D0888783

Claremont Manor Care Center · Claremont, CA
Active · expires Oct 22, 2026
CLIA Number05D0888783
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorMary N. Kasem
Laboratory Phone(909) 626-1227
Laboratory LocationClaremont Manor Care Center621 W Bonita Ave, Claremont, CA 91711
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Occupational Therapist (Gerontology)
621 W BONITA AVE
CLAREMONT, CA 91711
Skilled Nursing Facility
621 W BONITA AVE
CLAREMONT, CA 91711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760738850, enumerated as an "organization" on July 26, 2012.

The provider is located at 621 W BONITA AVE CLAREMONT, CA 91711 and the phone number is (909) 626-3490.

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.