NPIMap

Organization Active NPI

Inglewood Operating Company LP

  • Skilled Nursing Facility
  • Inglewood, CA
National Provider Identifier
1013989656
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000 Issued in CA
Legal business name
INGLEWOOD OPERATING COMPANY LP
Practice address
100 S Hillcrest Blvd
Inglewood, CA 90301-1313
Phone
(310) 677-9114
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea Saavedra
Title
Regional Financial Analyst
Phone
(707) 208-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314000000 CA Primary

Addresses

Primary practice location

100 S Hillcrest Blvd
Inglewood, CA 90301-1313

Mailing address

100 S Hillcrest Blvd
Inglewood, CA 90301-1313
Phone (310) 677-9114

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05526HMedicaidCA

Other names 1

  • Inglewood Healthcare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000532 CA Part A Provider - Skilled Nursing Facility 6608967757 Practice locations: Inglewood, CA

Skilled nursing facility certification: CCN 055526

Legal name
INGLEWOOD OPERATING COMPANY, LP
Doing business as
INGLEWOOD HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1968
Last certification
Oct 18, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Bio Pacific
Organization structure
PartnershipProprietary
Enrollment address
100 S Hillcrest Blvd
Inglewood, CA 90301-1313
Nursing home name
INGLEWOOD HEALTH CARE CENTER
Affiliated entity
MARINER HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Inglewood Health Care CenterCCN 055526
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9989.7 residents per day on average
Chain
Mariner Health Care17 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $27,356

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0667747Inglewood Health Care Center100 S Hillcrest Blvd, Inglewood, CA 90301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Inglewood Operating Company GP LLC Organization, Atlanta, GA LLC, Holding company, For-profit General Partnership Interest Dec 21, 2005 1%
Grancare LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 21, 2005 99%
Limited Partnership Interest Dec 21, 2005 99%
Kiana Moten Individual Operational/Managerial Control Sep 30, 2024
Managing Control - Governing BodyAdminstrator Sep 30, 2024
Adp of the SNF Sep 30, 2024
Mariner Health Care Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Direct Ownership Interest May 30, 2007
MHC West Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2005 100%
National Senior Care, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2005 100%
MHC Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2005 100%
Mariner Health Care, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2015 100%
Evan N Vidar Individual Operational/Managerial Control Feb 1, 2025
Adp of the SNF Feb 1, 2025
Emily Grunstein Individual 5% Or Greater Indirect Ownership Interest Feb 6, 2019
Dennis Sarcauga Individual Operational/Managerial Control Feb 6, 2025
Managing Control - Governing BodyPresident Feb 6, 2025
Adp of the SNF Feb 6, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1013989656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011313",
            "telephone_number": "310-677-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HILLCREST BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011313",
            "telephone_number": "310-677-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLEWOOD OPERATING COMPANY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05526H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inglewood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.