Active NPI
Norwalk Healthcare LLC
- Skilled Nursing Facility
- Norwalk, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 940000097
- Legal business name
- NORWALK HEALTHCARE LLC
- Doing business as
- Intercommunity Healthcare & Rehabilitation Center
- Practice address
- 12627 Studebaker Rd
Norwalk, CA 90650-2518 - Phone
- (562) 868-4767
- Fax
- (562) 864-3899
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira David Friedman
- Title
- Manager
- Phone
- (213) 389-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 940000097 | CA | Primary |
Addresses
Primary practice location
12627 Studebaker Rd
Norwalk, CA 90650-2518
Mailing address
4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC70156G | Medicaid | CA | |
| ZZT05457J | Medicaid | CA |
Other names 1
- Intercommunity Healthcare & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000527 | CA | Part A Provider - Skilled Nursing Facility | 3678477338 | Practice locations: Norwalk, CA |
Skilled nursing facility certification: CCN 055457
- Legal name
- NORWALK HEALTHCARE LLC
- Doing business as
- INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 13, 1978
- Last certification
- Aug 23, 2024
- Beds
- 86
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Sep 9, 2003 in CA
- Enrollment address
- 12627 Studebaker Rd
Norwalk, CA 90650-2518 - Nursing home name
- INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER
- Affiliated entity
- LONGWOOD MANAGEMENT CORPORATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Intercommunity Healthcare & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Feb 13, 1978
- Medicare certification status
- Active
- Certified beds
- 86
- Chain
- Longwood Management Corporation
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0881624 | Intercommunity Healthcare & Rehabilitation Center | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel Klavan | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Corporate Director | Jun 30, 2023 | 20% | |
| Lehmann Family 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 18% |
| The Klavan Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 18% |
| Romyn Patel | W-2 Managing Employee | Apr 20, 2022 | |
| Longwood Management LLC | Other | Nov 1, 2003 | |
| The Tzippy Friedman Notis 1990 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 18% |
| Ira D Friedman 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 18% |
| Friedman Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 18% |
| Ira David Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Corporate Officer | Jun 30, 2023 | 20% | |
| Corporate Director | Jun 30, 2023 | 20% | |
| Zaid Pervaiz | Other | Jan 7, 2022 |
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sherman Oaks, CA
- NPI 1316018310
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1700280328
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1568544781
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Burbank, CA
- NPI 1316019482
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Beaumont, CA
- NPI 1376963785
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Burbank, CA
- NPI 1518036060
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Canoga Park, CA
- NPI 1487734935
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Bellflower, CA
- NPI 1407373350
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1558441022
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- N Hollywood, CA
- NPI 1790854180
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1639257165
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Covina, CA
- NPI 1992885958
Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1033293436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 WILSHIRE BLVD FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103425",
"telephone_number": "213-389-6900",
"fax_number": "562-864-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12627 STUDEBAKER RD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502518",
"telephone_number": "562-868-4767",
"fax_number": "562-864-3899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWALK HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "213-389-6900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "940000097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC70156G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05457J",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intercommunity Healthcare & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CA
- Asmath J Noor, D.D.S.M.D
- David Nop
- Norwalk Community Emergency Physician Group Inc
- Norwalk Dental Associates
- Norwalk Dental Office of Alborz Mehdizadeh Inc
- Norwalk Maternity and Family Medical Center Inc.
- Norwalk Meadows Nursing Center LP
- Norwalk Plaza Dentistry Inc
- Norwalk Post Acute LLC
- Norwalk Retirement Villa, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.