Organization Active NPI

CF Susanville, LLC

Doing business as Lassen Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Susanville, CA
National Provider Identifier
1124170519
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000058 Issued in CA
Legal business name
CF SUSANVILLE, LLC
Doing business as
Lassen Nursing and Rehabilitation Center
Practice address
2005 River Street
Susanville, CA 96130
Phone
(530) 257-5341
Fax
(530) 257-8150
NPI assigned
Jan 17, 2007
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Jacob Wintner
Title
Manager
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000058 CA Primary

Addresses

Primary practice location

2005 River Street
Susanville, CA 96130

Mailing address

2005 River Street
Susanville, CA 96130
Phone (530) 257-5341

Other names 1

  • Lassen Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000549 CA Part A Provider - Skilled Nursing Facility 4183706922 Practice locations: Susanville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124170519. Details of each certification follow.

Skilled nursing facility certification: CCN 056231

Legal name
CF SUSANVILLE LLC
Doing business as
LASSEN NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 10, 1970
Last certification
Oct 24, 2024
Beds
96
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2007
Organization structure
LLCProprietary
Incorporated
Nov 17, 2006 in CA
Enrollment address
2005 River St
Susanville, CA 96130-4524
Nursing home name
LASSEN NURSING & REHABILITATION CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lassen Nursing & Rehabilitation CenterCCN 056231 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 10, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9683.5 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
05D0671777CF Susanville, LLC2005 River Street, Susanville, CA 96130Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Bering Properties LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2007 6%
BH Alliance Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Nov 1, 2006 4%
Manhattan Five Partners LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2006 6.52%
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Gregory Bretsch Individual Operational/Managerial Control Feb 25, 2019
Managing Control - Governing BodyRegional Director of Operations Feb 25, 2019
Adp of the SNF Feb 25, 2019
Win Win Enterprises, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2007 35%
Adp of the SNF Feb 1, 2007
Aishwarya Sharma Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Chain home office Operational/Managerial Control Apr 1, 2014
Adp of the SNF Jul 17, 2025
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestAuthorized Official/Managing Member Feb 1, 2007 5.75%
Corporate OfficerAuthorized Official/Managing Member Feb 1, 2007 50%
Operational/Managerial ControlManager Jan 1, 2007
Adp of the SNF Feb 1, 2007
Melissa Swartz Individual Operational/Managerial Control Jul 2, 2019
The Jacob Wintner Trust Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Nov 1, 2006 2%
Lorrie Fitzgerald Individual Operational/Managerial Control Feb 4, 2024
Managing Control - Governing BodyAdministrator Feb 4, 2024
Adp of the SNF Jul 16, 2025
Jenmax Enterprises LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2007 23%
Adp of the SNF Feb 1, 2007
JK-CSH JV LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2006 12%
Adp of the SNF Nov 1, 2006
Jacob Wintner Individual Corporate OfficerAuthorized Official/Managing Member Feb 1, 2007 50%
Operational/Managerial ControlManager Feb 1, 2007
Jacob Wintner Individual Adp of the SNF Feb 1, 2007
Indirect Ownership Interest Feb 1, 2007 3%
The Wintner Living Trust Dated 7/08/1992 Organization, Los Angeles, CA Owned by another organization or individual Indirect Ownership Interest Feb 1, 2007 1%
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
2005 River, LLC Organization, Los Angeles, CA LLC Adp of the SNF Dec 1, 2010
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
Crescent Facilities Operations LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 19, 2006 100%
Heidi Capela Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Apr 3, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 32

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

View all 32

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1124170519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 RIVER STREET",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-5341",
            "fax_number": "530-257-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 RIVER STREET",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-5341",
            "fax_number": "530-257-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CF SUSANVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lassen Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Susanville, CA

Sources for this page

Verify at the official NPI Registry.