Maple Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAPLE HEALTHCARE CENTER LLC

Practice address

2625 Maple Ave
Los Angeles, CA 90011-1431

Phone

(213) 948-0193

Fax

(213) 747-1615

NPI assigned

Dec 26, 2022

Organization subpart

No

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

Authorized official

Name

Ezequiel Bercovich

Title

Manager

Phone

(213) 948-0193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055036

Legal name

MAPLE HEALTHCARE CENTER, LLC

Doing business as

MAPLE HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1974

Last certification

Jul 11, 2024

Beds

59

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 22, 2022 in CA

Enrollment address

2625 Maple Ave
Los Angeles, CA 90011-1431

Nursing home name

MAPLE HEALTHCARE CENTER

Listed as

Maple Healthcare CenterCCN 055036 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5957.1 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

7Fines totaling $164,264

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Shuo Steven Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1538232137

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• University Health LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1841903697

  Maple University Holdings, LLC, SNF Management Inc

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Howard Chang Pyo, D.O

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1831540632

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1104539956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 MAPLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111431",
            "telephone_number": "213-948-0193",
            "fax_number": "213-747-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 MAPLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111431",
            "telephone_number": "213-948-0193",
            "fax_number": "213-747-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "BERCOVICH",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-948-0193"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Erin Maoz, MD
• Sabrina Leah Levy Maoz, MD, PHD
• Hawa Mapara, AGNP-C
• Mohammed Navid Mapara, D.M.D.
• Alyssa R Mapili, SLPA
• Mar Vista Country Villa Healthcare & Wellness Centre, LP
• Mar Vista Health Center, Inc
• Mar Vista Health Center, Inc
• Mar Vista Hospice Inc
• Mar Vista Nursing Center LLC

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.

Verify at the official NPI Registry.