Heritage Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE CARE, LLC

Doing business as

Heritage Rehabilitation Center

Practice address

21414 S Vermont Ave
Torrance, CA 90502-1935

Phone

(310) 320-8714

Fax

(310) 320-1809

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Roy D Martinez, NHA

Title

Administrator

Phone

(310) 320-8714

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164410783. Details of each certification follow.

• CCN 056308 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056308

Legal name

HERITAGE CARE, LLC

Doing business as

HERITAGE REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1976

Last certification

Jun 13, 2024

Beds

161

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Apr 1, 2003 in CA

Enrollment address

21414 S Vermont Avenue
Torrance, CA 90502-1935

Nursing home name

HERITAGE REHABILITATION CENTER

Affiliated entity

CHARIS TRUST DTD 12/22/16

Listed as

Heritage Rehabilitation CenterCCN 056308 · All quality measures

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

161131.8 residents per day on average

Chain

Charis Trust DTD 12/22/166 facilities in the chain

Penalties (3 years)

6Fines totaling $179,687

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 8

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.

• Estrella Azurin Aguinaldo, M.D.

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1548339278

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 4

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

• Canyon Properties III, LLC

  dba Country Manor Healthcare

  • Skilled Nursing Facility
  • Lake View Terrace, CA
  • NPI 1790766376

  Charis TR DTD 12/22/2016

  CMS ownership
• David Kleis II, LLC

  dba Palm Grove Healthcare

  • Skilled Nursing Facility
  • Beaumont, CA
  • NPI 1598746182

  Charis TR DTD 12/22/2016

  CMS ownership
• Geri-Care Inc.

  dba Harbor Post-Acute Care Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1053392639

  Charis TR DTD 12/22/2016

  CMS ownership
• Washington Enterprises III, LLC

  dba St. Andrews Healthcare

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1346221819

  Charis TR DTD 12/22/2016

  CMS ownership

Affiliated clinicians 5

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

• Estrella Azurin Aguinaldo, M.D.

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1548339278

  Nursing home

  Care Compare affiliation
• Richard Montero Butlig, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1912968447

  Nursing home

  Care Compare affiliation
• Reza Ghanian, MD

  • Internal Medicine Physician
  • Carson, CA
  • NPI 1639151350

  Nursing home

  Care Compare affiliation
• Rehan Muttalib, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1679068506

  Nursing home

  Care Compare affiliation
• Xanthe Zafra Victoria, MD

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1447270418

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164410783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21414 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021935",
            "telephone_number": "310-320-8714",
            "fax_number": "310-320-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21414 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021935",
            "telephone_number": "310-320-8714",
            "fax_number": "310-320-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-320-8714",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06308I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herbalife International of America Inc.
• Brisha L Herbert
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• Tania Heredia
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• Brenda Nataly Hernandez Angel
• Jazmin Hernandez Bernal
• Jazmine Hernandez Castillo
• Randall Hernandez Garcia

• Skilled Nursing Facility in Torrance, CA
• Providers in Torrance, 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 Aug 22, 2020; 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.