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05D2116019 CLIA NUMBER - VALLEY VIEW CONGREGATE LIVING, INC.

Laboratory Demographics

CLIA Number: 05D2116019

Facility Name: VALLEY VIEW CONGREGATE LIVING, INC.

Facility Address:
7800 ATOLL AVE
NORTH HOLLYWOOD, CA
ZIP 91605
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Facility Phone Number: 818 561-6382

Facility Type: Other - CONGREGATE LIVING HLTH FA

Certificate Type: Waiver
NPI Number: 1457747834

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
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.

CLIA Record

Field Name Field Value
CLIA Number 05D2116019
LAB Type Other - CONGREGATE LIVING HLTH FA
Facility Name VALLEY VIEW CONGREGATE LIVING, INC.
Street 7800 ATOLL AVE
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 818 561-6382
CertificateType 4
CertificateEffectiveDate 7/18/2022
CertificateExpirationDate 7/17/2024
FacilityType Waiver

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