# AERIS CONGREGATE LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336059369
- **Authorized official:** TOBY MICLAT (LLC MEMBER)
- **Authorized official phone:** (714) 408-8996

## Contact information

- **Practice address:** 1213 N VALLEJO WAY, UPLAND, CA 91786-3052
- **Practice address phone:** (714) 408-8996
- **Practice address fax:** (951) 625-3967
- **Mailing address:** 1213 N VALLEJO WAY, UPLAND, CA 91786-3052
- **Mailing address phone:** (714) 408-8996
- **Mailing address fax:** (951) 625-3967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2026
- **Last updated:** 09/10/2026