Organization Active NPI

Norwalk Skilled Nursing & Wellness Centre, LLC

Doing business as Norwalk Skilled Nursing & Wellness Centre

  • Skilled Nursing Facility
  • Norwalk, CA
National Provider Identifier
1174723530
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000141 Issued in CA
Legal business name
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Doing business as
Norwalk Skilled Nursing & Wellness Centre
Practice address
11510 Imperial Hwy
Norwalk, CA 90650-2812
Phone
(562) 868-6791
Fax
(562) 863-7123
NPI assigned
Jul 23, 2007
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Mr. Shlomo Rechnitz
Title
Manager
Phone
(626) 800-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000141 CA Primary

Addresses

Primary practice location

11510 Imperial Hwy
Norwalk, CA 90650-2812

Mailing address

11510 Imperial Hwy
Norwalk, CA 90650-2801
Phone (562) 868-6791

Other identifiers 1

IdentifierTypeStateIssuer
LTC55668FMedicaidCA

Other names 1

  • Norwalk Skilled Nursing & Wellness Centre Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070924000447 CA Part A Provider - Skilled Nursing Facility 5698869428 Practice locations: Norwalk, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174723530. Details of each certification follow.

Skilled nursing facility certification: CCN 555668

Legal name
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Doing business as
NORWALK SKILLED NURSING & WELLNESS CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 9, 1996
Last certification
Jul 26, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jul 12, 2007 in CA
Enrollment address
11510 Imperial Hwy
Norwalk, CA 90650-2812
Nursing home name
NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC
Affiliated entity
PACIFIC HEALTHCARE HOLDINGS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Norwalk Skilled Nursing & Wellness Centre, LLCCCN 555668 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 9, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.2 residents per day on average
Chain
Pacific Healthcare Holdings15 facilities in the chain
Penalties (3 years)
3Fines totaling $72,794

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
05D0552370Norwalk Skilled Nursing & Wellness Center LLC11510 E Imperial Highway, Norwalk, CA 90650Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Rockport Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Aug 1, 2007
Adp of the SNF Apr 10, 2025
Brius LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2007 10%
Organization, Los Angeles, CA Adp of the SNF Nov 19, 2014
Jazmin Marroquin Individual Operational/Managerial Control Oct 1, 2019
Adp of the SNF Oct 1, 2019
Joon Suh Individual Operational/Managerial Control Mar 14, 2025
Adp of the SNF Mar 14, 2025
Pacific Healthcare Holdings, Inc. Organization, Los Angeles, CA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2007 90%
Corporate Interface Services LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Mar 18, 2024
Adp of the SNF Apr 10, 2025
Shlomo Rechnitz Individual Operational/Managerial Control Aug 1, 2007
Adp of the SNF Aug 1, 2007

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 73

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

View all 73

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1174723530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502801",
            "telephone_number": "562-868-6791",
            "fax_number": "562-863-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 IMPERIAL HWY",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502812",
            "telephone_number": "562-868-6791",
            "fax_number": "562-863-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK SKILLED NURSING & WELLNESS CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-800-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55668F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Norwalk Skilled Nursing & Wellness Centre",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norwalk Skilled Nursing & Wellness Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.