Active NPI
Studebaker Healthcare Center LLC
- Skilled Nursing Facility
- Norwalk, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- STUDEBAKER HEALTHCARE CENTER LLC
- Practice address
- 13226 Studebaker Rd
Norwalk, CA 90650-2532 - Phone
- (562) 868-0591
- NPI assigned
- May 31, 2023
- Last updated
- May 31, 2023
- 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
- Mordechai Wertheimer
- Title
- VP of Finance
- Phone
- (610) 457-9593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
13226 Studebaker Rd
Norwalk, CA 90650-2532
Mailing address
7162 Beverly Blvd # 565
Los Angeles, CA 90036-2547
Phone (610) 457-9593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231018001532 | CA | Part A Provider - Skilled Nursing Facility | 8628423159 | Practice locations: Norwalk, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053004606. Details of each certification follow.
Skilled nursing facility certification: CCN 056425
- Legal name
- STUDEBAKER HEALTHCARE CENTER LLC
- Doing business as
- STUDEBAKER HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 5, 1974
- Last certification
- Dec 20, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 13226 Studebaker Rd
Norwalk, CA 90650-2532 - Nursing home name
- STUDEBAKER HEALTHCARE CENTER
- Affiliated entity
- AARON MAYER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Studebaker Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 5, 1974
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Aaron Mayer
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 05D0552416 | Studebaker Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Hung Manh Nguyen | Operational/Managerial Control | Aug 22, 2022 | |
| Adp of the SNF | May 30, 2025 | ||
| Ahm Trust | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 99.9% |
| Operational/Managerial Control | Feb 1, 2023 | ||
| Louis Florin | Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | May 30, 2025 | ||
| Aaron Mayer | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 0.1% |
| 5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 99.9% | |
| Corporate Officer | Feb 1, 2023 | 100% | |
| Operational/Managerial Control | Feb 1, 2023 | ||
| Adp of the SNF | Feb 1, 2023 | ||
| Pacificare Health Management LLC | Adp of the SNF | Feb 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Orange, CA
- NPI 1447284526
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Colonial Gardens Nursing Center
- Skilled Nursing Facility
- Pico Rivera, CA
- NPI 1114777984
Ahm Trust
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1053004606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7162 BEVERLY BLVD # 565",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362547",
"telephone_number": "610-457-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13226 STUDEBAKER RD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502532",
"telephone_number": "562-868-0591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUDEBAKER HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "WERTHEIMER",
"authorized_official_first_name": "MORDECHAI",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "610-457-9593"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.