LOS ANGELES CONGREGATE LIVING INC.
NPI 1790059244
Nursing Facility/Intermediate Care Facility in Sun Valley, CA

Active since March 01, 2012CLIA 05D2039554 · Waiver
7819 ARVILLA AVE, SUN VALLEY, CA 91352(323) 302-3956 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 05D2039554
  • CLIA Cert. Type: Other - CONGREGATE LIVING HLTH FA
  • CLIA Exp. Date: 04-11-2028

About LOS ANGELES CONGREGATE LIVING INC.

This page provides the complete NPI Profile along with additional information for Los Angeles Congregate Living Inc., a provider established in Sun Valley, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1790059244 assigned on March 2012. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Mariam Voskanyan Rn (Administrator/dpcs)

NPI
1790059244 Verify this NPI
Provider Name
LOS ANGELES CONGREGATE LIVING INC.
Entity Type
Organization
Location Address
7819 ARVILLA AVE SUN VALLEY, CA 91352
Location Phone
(323) 302-3956
Mailing Address
7819 ARVILLA AVE SUN VALLEY, CA 91352
Mailing Phone
(323) 302-3956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2012
Last Update Date
03-01-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIAM VOSKANYAN RN

Authorized Official Title
ADMINISTRATOR/DPCS
Authorized Official Phone
(323) 302-3956

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2039554
Facility Type
Other - CONGREGATE LIVING HLTH FA
Certificate Effective Date
April 12, 2026
Certificate Expiration Date
April 11, 2028
Laboratory Director
HOSSEIN BABAALI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Los Angeles Congregate Living Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790059244, enumerated as an "organization" on March 01, 2012.

The provider is located at 7819 ARVILLA AVE SUN VALLEY, CA 91352 and the phone number is (323) 302-3956.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.