Active NPI
Serrano Post Acute, LLC
Doing business as Hollywood Premier Healthcare Center
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2016
- 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
- Dov E Jacobs
- Title
- Manager
- Phone
- (323) 465-2106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 7, 1975
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Serrano Group
- 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 |
|---|---|---|---|
| 05D0543275 | Hollywood Premier Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Serrano Group LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 60% |
| Serrano Partners LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 17.67% |
| Robert Fensterman | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5% |
| JS Fenton LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 6.67% |
| Juhn Cayabyab | Operational/Managerial Control | Jan 1, 2016 | 100% |
| Dov E Jacobs | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 40% |
| Corporate Officer | Jan 1, 2016 | 100% | |
| Jordan Fensterman | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 2.5% |
| Bin Mendel LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 17.67% |
| BL Cali Partners LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 17.67% |
| Serrano Licensee 2 LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| Operational/Managerial Control | Jan 1, 2016 | 100% | |
| Staci Leibson | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 1.5% |
| RGF Consulting LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 3% |
| Benjamin Landa | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 17.67% |
| Yaame LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 40% |
| Judah Taub | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 17.67% |
| Howard Fensterman | 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.
-
dba Monrovia Post Acute
- Skilled Nursing Facility
- Duarte, CA
- NPI 1073970620
Bin Mendel LLC, BL Cali Partners LLC, JS Fenton LLC, RGF Consulting LLC, Serrano Group LLC, Serrano Partners LLC, Yaame LLC
-
dba Royal Gardens Healthcare
- Skilled Nursing Facility
- Alhambra, CA
- NPI 1710344361
Bin Mendel LLC, BL Cali Partners LLC, JS Fenton LLC, RGF Consulting LLC, Serrano Group LLC, Serrano Partners LLC, Yaame LLC
-
dba Royal Palms Post Acute
- Skilled Nursing Facility
- Glendale, CA
- NPI 1396102943
Bin Mendel LLC, BL Cali Partners LLC, JS Fenton LLC, RGF Consulting LLC, Serrano Group LLC, Serrano Partners LLC, Yaame LLC
-
dba Royal Terrace Healthcare
- Skilled Nursing Facility
- Duarte, CA
- NPI 1598122038
Bin Mendel LLC, BL Cali Partners LLC, JS Fenton LLC, RGF Consulting LLC, Serrano Group LLC, Serrano Partners LLC, Yaame LLC
-
dba Palazzo Post Acute
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1659738201
Bin Mendel LLC, BL Cali Partners LLC, JS Fenton LLC, RGF Consulting LLC, Serrano Group LLC, Serrano Partners LLC, Yaame LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1649616855
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1396775474
Nursing home
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
- Valerie Diane Serrano Avila
- Sandra Serrano Canete
- Serrano Eye Center Medical Group
- Serrano Healthcare, LLC (Palazzo Post Acute)
- Serrano Medical Pharmacy, Inc. (Serrano Medical Pharmacy)
- Lizbeth Serrano Robledo
- Serrano Surgery Center, Inc
- Miguel Angel Serrano-Illan
- Rosa Maria Serrano-Overstreet
- Alondra Serrano
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.