Organization Active NPI

Ag Lynwood, LLC

Doing business as Lynwood Healthcare Center

  • Skilled Nursing Facility
  • Lynwood, CA
National Provider Identifier
1144214628
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000045 Issued in CA
Legal business name
AG LYNWOOD, LLC
Doing business as
Lynwood Healthcare Center
Lynwood Post Acute Care Center
Practice address
3611 East Imperial Highway
Lynwood, CA 90262
Phone
(310) 537-2500
Fax
(310) 609-1922
NPI assigned
Sep 9, 2005
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 940000045 CA Primary

Addresses

Primary practice location

3611 East Imperial Highway
Lynwood, CA 90262

Mailing address

3611 E Imperial Hwy
Lynwood, CA 90262-2608
Phone (310) 537-2500

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05696IMedicaidCA

Other names 2

  • Lynwood Healthcare Center Doing business as
  • Lynwood Post Acute 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
O20031023000045 CA Part A Provider - Skilled Nursing Facility 0345152013 Practice locations: Lynwood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144214628. Details of each certification follow.

Skilled nursing facility certification: CCN 056415

Legal name
AG LYNWOOD LLC
Doing business as
LYNWOOD POST ACUTE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1973
Last certification
Jan 16, 2025
Beds
99
Ownership / control type
Corporation
Multi-facility organization
AG
Organization structure
LLCProprietary
Incorporated
Aug 11, 2003 in CA
Enrollment address
3611 E Imperial Hwy
Lynwood, CA 90262-2608
Nursing home name
LYNWOOD POST ACUTE CARE CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lynwood Post Acute Care CenterCCN 056415 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 27, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9990.4 residents per day on average
Chain
Cambridge Healthcare Services32 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
05D0548314Ag Lynwood, LLC3611 East Imperial Highway, Lynwood, CA 90262Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Locations

3611 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 537-2500

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
BH Alliance Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 5%
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Edson Torres Individual Operational/Managerial Control Mar 23, 2023
Ira E Smedra Living Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 47.5%
3611 E. Imperial, LLC Organization, Los Angeles, CA LLC Adp of the SNF Sep 15, 2004
Win Win Enterprises, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 47.5%
Adp of the SNF Oct 1, 2003
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Allison S Pease Individual Operational/Managerial Control Mar 28, 2023
Managing Control - Governing BodyAdministrator Mar 28, 2023
Adp of the SNF Jul 17, 2025
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Chain home office Operational/Managerial Control Oct 1, 2013
Adp of the SNF Jul 17, 2025
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestAuthorized Official/Managing Mem Aug 11, 2003 47.5%
Corporate OfficerAuthorized Official/Managing Member Aug 11, 2003 50%
Operational/Managerial Control Aug 11, 2003
Adp of the SNF Aug 11, 2003
Ag Facilities Operations, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 11, 2003 100%
Jacob Wintner Individual Corporate OfficerAuthorized Official/Managing Member Aug 11, 2003 50%
Operational/Managerial Control Aug 11, 2003
Adp of the SNF Aug 11, 2003
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
Manuel R Sacapano Individual Operational/Managerial Control Mar 28, 2019
Adp of the SNF Mar 28, 2019
Kristina Kuizon Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyRegional Director of Operations Apr 1, 2025
Adp of the SNF Apr 1, 2025
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 31

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

View all 31

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1144214628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622608",
            "telephone_number": "310-537-2500",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 EAST IMPERIAL HIGHWAY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "310-537-2500",
            "fax_number": "310-609-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG LYNWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "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": "940000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05696I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynwood Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lynwood Post Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.