NPIMap

Organization Active NPI

Lighthouse Healthcare Center, LLC

Doing business as Lighthouse Healthcare Center

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1144490053
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000071 Issued in CA
Legal business name
LIGHTHOUSE HEALTHCARE CENTER, LLC
Doing business as
Lighthouse Healthcare Center
Practice address
2222 Santa Ana Blvd S
Los Angeles, CA 90059-1350
Phone
(323) 564-4461
Fax
(323) 569-9565
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Mr. Liab Greenspoon
Title
Owner
Phone
(323) 569-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000071 CA Primary

Addresses

Primary practice location

2222 Santa Ana Blvd S
Los Angeles, CA 90059-1350

Mailing address

2222 Santa Ana Blvd S
Los Angeles, CA 90059-1350
Phone (323) 564-4461

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18416HMedicaidCA

Other names 1

  • Lighthouse Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000097 CA Part A Provider - Skilled Nursing Facility 6800975830 Practice locations: Los Angeles, CA

Skilled nursing facility certification: CCN 056478

Legal name
LIGHTHOUSE HEALTHCARE CENTER, LLC
Doing business as
LIGHTHOUSE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1975
Last certification
Jun 5, 2025
Beds
149
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Mar 1, 2007
Organization structure
LLCProprietary
Enrollment address
2222 Santa Ana Blvd S
Los Angeles, CA 90059-1350
Nursing home name
LIGHTHOUSE HEALTHCARE CENTER
Affiliated entity
PACIFIC HEALTHCARE HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lighthouse Healthcare CenterCCN 056478 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
149120.2 residents per day on average
Chain
Pacific Healthcare Holdings15 facilities in the chain
Penalties (3 years)
3Fines totaling $99,959

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
05D0722746Lighthouse Healthcare Center,LLC2222 Santa Ana Blvd, Los Angeles, CA 90059Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2222 Santa Ana S
Los Angeles, CA 90059
Phone (323) 564-4461

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
David Blonder Individual 5% Or Greater Direct Ownership InterestMember Mar 1, 2007 10%
Aryen Laib Greenspoon Individual 5% Or Greater Direct Ownership InterestMember Mar 1, 2007 25%
Operational/Managerial ControlManaging Member Mar 1, 2007
Pacific Healthcare Holdings, Inc. Organization, Santa Fe Springs, CA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2007 65%
Operational/Managerial Control Mar 1, 2007
Tamar Rechnitz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2007
Shlomo Rechnitz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2007
Corporate OfficerCeo Mar 1, 2007

Facilities with the same owner 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1144490053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SANTA ANA BLVD S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591350",
            "telephone_number": "323-564-4461",
            "fax_number": "323-569-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA ANA BLVD S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591350",
            "telephone_number": "323-564-4461",
            "fax_number": "323-569-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GREENSPOON",
        "authorized_official_first_name": "LIAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-569-9565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18416H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lighthouse Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.