Eisenberg Village of the Los Angeles Jewish Home for the Aging

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

920000043 Issued in CA

Legal business name

EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING

Practice address

18855 Victory Blvd
Reseda, CA 91335-6445

Phone

(818) 774-3000

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Forrest

Title

Chief Executive Officer

Phone

(818) 774-9208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eisenberg Village Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055013

Legal name

EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING

Doing business as

EISENBERG VILLAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Dec 5, 2024

Beds

166

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 12, 1915 in CA

Enrollment address

18855 Victory Blvd
Reseda, CA 91335-6445

Nursing home name

EISENBERG VILLAGE

Listed as

Eisenberg VillageCCN 055013

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

16682.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Eisenberg Village of the Los Angeles Jewish Home for the Aging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eisenberg Village of the Los Angeles Jewish Home for the Aging

  • Assisted Living Facility
  • Reseda, CA
  • NPI 1962612432
  NPD tax ID

Locations

All disclosed owners & managing parties 25

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 5

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

• Jha Geriatric Services, Inc

  • Inpatient Hospice
  • Encino, CA
  • NPI 1275536732

  Adp of the SNF

  CMS ownership
• Jha Geriatric Services, Inc

  • Clinic/Center
  • Reseda, CA
  • NPI 1831264092

  Adp of the SNF

  CMS ownership
• Noachim Marco, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1366848335

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Med-Plus Pharmacy LLC

  • Long Term Care Pharmacy
  • Livermore, CA
  • NPI 1225636889

  Adp of the SNF

  CMS ownership
• Med-Plus Pharmacy LLC

  • Long Term Care Pharmacy
  • Covina, CA
  • NPI 1821393828

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

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

• Grancell Village of the Los Angeles Jewish Home for the Aging

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1487681631

  Los Angeles Jewish Home for the Aging

  CMS ownership
• Grancell Village of the Los Angeles Jewish Home for the Aging

  • Psychiatric Hospital
  • Reseda, CA
  • NPI 1538338793

  Los Angeles Jewish Home for the Aging

  CMS ownership

Affiliated clinicians 4

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

• Samuel J Elias, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1982684023

  Nursing home

  Care Compare affiliation
• Noachim Marco, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1366848335

  Nursing home

  Care Compare affiliation
• Armen Voskertchian, DO

  • Student in an Organized Health Care Education/Training Program
  • Fresno, CA
  • NPI 1467089425

  Nursing home

  Care Compare affiliation
• Hangnga Vu, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1972601037

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1215930995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18855 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356445",
            "telephone_number": "818-774-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18855 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356445",
            "telephone_number": "818-774-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-774-9208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "920000043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT08013F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eisenberg Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Earnest Care Home Health, Inc.
• Eclipse Senior Care Inc
• Susanne Grace Edwards
• Eetc, Inc.
• Adebola Ao Egerongbe
• Eisenberg Village of the Los Angeles Jewish Home for the Aging
• Elena Kogan
• Elevate Hospice, Inc.
• Elite Outpatient Surgical Institute, Inc
• Elite Support Home Health, Inc

• Nursing Facility/Intermediate Care Facility in Reseda, CA
• Providers in Reseda, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.