Organization Active NPI

Norwalk Healthcare LLC

  • Skilled Nursing Facility
  • Norwalk, CA
National Provider Identifier
1033293436
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000097 Issued in CA
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

Updated by the provider on Sep 29, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC70156GMedicaidCA
ZZT05457JMedicaidCA

Other names 1

  • Intercommunity Healthcare & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 055457 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Feb 13, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8680.9 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
1Fines totaling $20,654

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
05D0881624Intercommunity Healthcare & Rehabilitation Center12627 Studebaker Road, Norwalk, CA 90650Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Lehmann Family 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Romyn Patel Individual W-2 Managing EmployeeAdministrator Apr 20, 2022
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit Other Nov 1, 2003
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Zaid Pervaiz Individual Other Jan 7, 2022

Facilities with the same owner 24

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

View all 24

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

Sources for this page

Verify at the official NPI Registry.