05D0926524 CLIA NUMBER - SIMI VALLEY CARE CENTER

Laboratory Demographics

CLIA Number: 05D0926524

Facility Name: SIMI VALLEY CARE CENTER

Facility Address:
5270 EAST LOS ANGELES AVE
SIMI VALLEY, CA
ZIP 93063
Get Directions

Facility Phone Number: 805 588-9155

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1912454851

Taxonomy: 314000000X - Skilled Nursing Facility
(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.

CLIA Record

Field Name	Field Value
CLIA Number	05D0926524
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	SIMI VALLEY CARE CENTER
Street	5270 EAST LOS ANGELES AVE
City	SIMI VALLEY
State	CA
ZIP	93063
Phone	805 588-9155
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024