Organization Active NPI

Serrano Post Acute, LLC

Doing business as Hollywood Premier Healthcare Center

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1093172645
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SERRANO POST ACUTE, LLC
Doing business as
Hollywood Premier Healthcare Center
Practice address
5401 Fountain Ave
Los Angeles, CA 90029-1006
Phone
(323) 465-2106
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dov E Jacobs
Title
Manager
Phone
(323) 465-2106

Specialties & licenses 1

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

Addresses

Primary practice location

5401 Fountain Ave
Los Angeles, CA 90029-1006

Mailing address

5401 Fountain Ave
Los Angeles, CA 90029-1006
Phone (323) 465-2106

Other names 1

  • Hollywood Premier 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
O20160506001352 CA Part A Provider - Skilled Nursing Facility 3678872074 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093172645. Details of each certification follow.

Skilled nursing facility certification: CCN 056489

Legal name
SERRANO POST ACUTE LLC
Doing business as
HOLLYWOOD PREMIER HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 7, 1975
Last certification
Jul 25, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Nov 23, 2015 in CA
Enrollment address
5401 Fountain Ave
Los Angeles, CA 90029-1006
Nursing home name
HOLLYWOOD PREMIER HEALTHCARE CENTER
Affiliated entity
SERRANO GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hollywood Premier Healthcare CenterCCN 056489 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 7, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9991.1 residents per day on average
Chain
Serrano Group11 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $17,342

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
05D0543275Hollywood Premier Healthcare Center5401 Fountain Ave, Los Angeles, CA 90029Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Serrano Group LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 60%
Serrano Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Robert Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5%
JS Fenton LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.67%
Juhn Cayabyab Individual Operational/Managerial Control Jan 1, 2016 100%
Dov E Jacobs Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Corporate OfficerManager Jan 1, 2016 100%
Jordan Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 2.5%
Bin Mendel LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
BL Cali Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Serrano Licensee 2 LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Staci Leibson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 1.5%
RGF Consulting LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 3%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Yaame LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Judah Taub Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Howard Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%

Facilities with the same owner 5

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

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1093172645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291006",
            "telephone_number": "323-465-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291006",
            "telephone_number": "323-465-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRANO POST ACUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-465-2106"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Premier Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.