WHITE OAK CONGREGATE LIVING FACILITY, LLC
NPI 1841662038
Skilled Nursing Facility in Northridge, CA

Active since October 27, 2015CLIA 05D2089219 · Waiver
9301 WHITE OAK AVE, NORTHRIDGE, CA 91325(818) 885-1135(818) 885-1173 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2017, Jan 29, 2016 (2 updates tracked since 2016).

About White Oak Congregate Living Facility, Llc NPPES

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

WHITE OAK CONGREGATE LIVING FACILITY, LLC (NPI 1841662038) is a healthcare organization registered as a skilled nursing facility in Northridge, California and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Mia Vitte, Administrator, as its authorized official.

NPPES Registry Identity

NPI1841662038
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWHITE OAK CONGREGATE LIVING FACILITY, LLC
Location Address9301 WHITE OAK AVENorthridge, CA 91325-2336
Mailing Address11847 Balboa BlvdGranada Hills, CA 91344-2754 · (310) 272-6666
Fax(818) 885-1173
Organization SubpartNo
Authorized OfficialMia VitteAdministrator · (310) 272-6666
Enumeration DateOctober 27, 2015
Last NPPES UpdateDecember 12, 20172 updates tracked since enumeration
NPI 1841662038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License 550003205 (CA)
9301 WHITE OAK AVE, Northridge, CA 91325

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 05D2089219

White Oak Congregate Living Facility · Northridge, CA
Active · expires Dec 21, 2026
CLIA Number05D2089219
Laboratory TypeCongregate Living Hlth
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorSuman Patel, MD
Laboratory Phone(818) 885-1135
Laboratory LocationWhite Oak Congregate Living Facility9301 Whiteoak Ave, Northridge, CA 91325
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 White Oak Congregate Living Facility, LLC's NPI number?

The NPI number for White Oak Congregate Living Facility, LLC is 1841662038. It was assigned to this organization in the NPPES registry on October 27, 2015.

Where is White Oak Congregate Living Facility, LLC located?

White Oak Congregate Living Facility, LLC is located at 9301 White Oak Ave, Northridge, CA 91325. The listed phone number is (818) 885-1135.

What is White Oak Congregate Living Facility, LLC's specialty?

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

Does White Oak Congregate Living Facility, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2089219) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Oak Congregate Living Facility, LLC was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.