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Contact Information

SENIOR CONGREGATE LIVING, INC.
11847 BALBOA BLVD
GRANADA HILLS, CA91344-2754
 Phone: 747-300-2379
 Fax: 747-300-2999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Custodial Care Facility

311Z00000X
 

Nursing Care

251J00000X
 

Residential Treatment Facility, Physical Disabilities

320700000X
Indicates primary specialty

NPI Profile & details for SENIOR CONGREGATE LIVING, INC.

NPI Number 1093149072
LBN Legal business name SENIOR CONGREGATE LIVING, INC.
Authorized official MIA VITTE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2013
Last updated 12/12/2017 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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