COUNTRY MANOR HEALTHCARE
NPI 1790766376
Skilled Nursing Facility in Lake View Terrace, CA
About Country Manor Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY MANOR HEALTHCARE (NPI 1790766376) is a healthcare organization registered as a skilled nursing facility in Lake View Terrace, California and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marcia S Weldon, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 05D0558587
Country Manor Healthcare · Lake View Terrace, CANursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Country Manor Healthcare (CMS certification number 055002), from CMS Care Compare.
Country Manor Healthcare
Nursing home · Lake View Terrace, 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 Canyon Properties III, LLC's NPI number?
The NPI number for Canyon Properties III, LLC is 1790766376. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Country Manor Healthcare.
Where is Canyon Properties III, LLC located?
Canyon Properties III, LLC is located at 11723 Fenton Ave, Lake View Terrace, CA 91342. The listed phone number is (818) 899-0251.
What is Canyon Properties III, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Canyon Properties III, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0558587) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Canyon Properties III, LLC a Medicare-certified nursing home?
Yes. Country Manor Healthcare is a Medicare-certified nursing home with 99 certified beds.
What quality rating does Canyon Properties III, LLC have?
CMS rates Country Manor Healthcare 4 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 Canyon Properties III, LLC was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.