Organization Active NPI

Northridge Care Center LLC

Doing business as Northridge Care Center

  • Skilled Nursing Facility
  • Reseda, CA
National Provider Identifier
1093890253
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000055 Issued in CA
Legal business name
NORTHRIDGE CARE CENTER LLC
Doing business as
Northridge Care Center
Practice address
7836 Reseda Blvd
Reseda, CA 91335-1902
Phone
(818) 881-7414
Fax
(818) 774-2256
NPI assigned
Oct 26, 2006
Last updated
Sep 29, 2023By the provider in NPPES
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 920000055 CA Primary

Addresses

Primary practice location

7836 Reseda Blvd
Reseda, CA 91335-1902

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 390-6900

Other identifiers 1

IdentifierTypeStateIssuer
ZZTO6224LMedicaidCA

Other names 1

  • NORTHRIDGE CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000550 CA Part A Provider - Skilled Nursing Facility 7911169511 Practice locations: Reseda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093890253. Details of each certification follow.

Skilled nursing facility certification: CCN 056412

Legal name
NORTHRIDGE CARE CENTER LLC
Doing business as
NORTHRIDGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Jan 10, 2025
Beds
97
Ownership / control type
Corporation
Multi-facility organization
Longwood Management Corporation
Organization structure
LLCProprietary
Incorporated
Dec 4, 2000 in CA
Enrollment address
7836 Reseda Blvd
Reseda, CA 91335-1902
Nursing home name
NORTHRIDGE CARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northridge Care CenterCCN 056412 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9789.2 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain

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
05D0708934Northridge Care Center7836 Reseda Blvd, Reseda, CA 91335Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

7836 Reseda Blvd
Reseda, CA 91335
Phone (818) 676-4000

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%
Ira David Friedman Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Janees Nunez Individual W-2 Managing EmployeeAdministrator Mar 1, 2023
Aaron Friedman Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Libby Friedman Lehmann Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit Other Dec 4, 2000
Ruchel Friedman Klavan Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
JRB Investments LLC Organization, Los Angeles, CA Corporation 5% Or Greater Direct Ownership Interest Dec 4, 2000 100%
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 15

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

View all 15

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1093890253",
    "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": "213-390-6900",
            "fax_number": "818-774-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351902",
            "telephone_number": "818-881-7414",
            "fax_number": "818-774-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRIDGE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "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": "920000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZTO6224L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHRIDGE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHRIDGE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.