Organization Active NPI

Eisenhower Healthcare, LLC

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1235669482
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EISENHOWER HEALTHCARE, LLC
Practice address
1470 N Fair Oaks Ave
Pasadena, CA 91103-1801
Phone
(626) 798-9133
Fax
(626) 791-8402
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. David Levy
Title
Manager
Phone
(323) 842-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1470 N Fair Oaks Ave
Pasadena, CA 91103-1801

Mailing address

1470 N Fair Oaks Ave
Pasadena, CA 91103-1801
Phone (626) 798-9133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171113002581 CA Part A Provider - Skilled Nursing Facility 8224394986 Practice locations: Pasadena, CA

Skilled nursing facility certification: CCN 055617

Legal name
EISENHOWER HEALTHCARE LLC
Doing business as
PASADENA GROVE HEALTH CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1972
Last certification
Feb 28, 2025
Beds
71
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
May 3, 2017 in CA
Enrollment address
1470 N Fair Oaks Ave
Pasadena, CA 91103-1801
Nursing home name
PASADENA GROVE HEALTH CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pasadena Grove Health CenterCCN 055617
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7165.4 residents per day on average

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
05D0725547Pasadena Grove Health Center1470 North Fair Oaks Avenue, Pasadena, CA 91103Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1470 N Fair Oaks Ave
Pasadena, CA 91103
Phone (323) 842-8800

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
Melody Healthcare LLC Organization, Los Angeles, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2017 100%
David Levy Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2017 50%
Corporate DirectorManager Jun 1, 2017 50%
Operational/Managerial Control Jun 1, 2017
Moshe Silber Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2017 50%
Corporate DirectorManager Jun 1, 2017 50%
Moishe Frankel Individual Corporate OfficerManager Jun 30, 2020
Eisenhower Healthcare LLC Organization, Pasadena, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2017 100%
Operational/Managerial Control Jun 1, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235669482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031801",
            "telephone_number": "626-798-9133",
            "fax_number": "626-791-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031801",
            "telephone_number": "626-798-9133",
            "fax_number": "626-791-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENHOWER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-842-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.