# PIERCE CONGREGATE LIVING LLC

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

## Provider details

- **NPI number:** 1548804255
- **Authorized official:** MR. DAVIT ZARGARYAN (ADMINISTRATOR)
- **Authorized official phone:** (818) 307-3675

## Contact information

- **Practice address:** 12430 PIERCE ST, PACOIMA, CA 91331-1522
- **Practice address phone:** (818) 307-3675
- **Mailing address:** 12430 PIERCE ST, PACOIMA, CA 91331-1522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | — | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 04/22/2025