SIMI VALLEY CONGREGATE LIVING INC NPI 1134597909

NPI Details

SIMI VALLEY CONGREGATE LIVING, INC is a nursing facility intermediate care facility in Simi Valley, CA. The provider is 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. SIMI VALLEY CONGREGATE LIVING, INC NPI is 1134597909. The provider is registered as an organization entity type.

The provider's business location address is:

2053 SHELBY LN
SIMI VALLEY, CA
ZIP 93065-427
Phone: (805) 900-0588
Fax: (805) 900-0577

The provider's authorized official is Gary Adams .
The authorized official title is Ceo and has the following contact phone number (805) 900-0588.

The CLIA number assigned to this NPI record is 05D2190115 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2015 and was last updated on 11/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: