Healthcare Provider Details

I. General information

NPI: 1295601433
Provider Name (Legal Business Name): MISSION HILLS CONGREGATE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10949 BURNET AVE
MISSION HILLS CA
91345-1505
US

IV. Provider business mailing address

10949 BURNET AVE
MISSION HILLS CA
91345-1505
US

V. Phone/Fax

Practice location:
  • Phone: 747-253-7320
  • Fax: 310-496-1830
Mailing address:
  • Phone: 747-253-7320
  • Fax: 310-496-1830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ARNOLDO MARTIR
Title or Position: PRESIDENT
Credential:
Phone: 626-228-5432