Active NPI
Eisenhower Healthcare, LLC
- Skilled Nursing Facility
- Pasadena, CA
National Provider Identifier
1235669482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1972
- Medicare certification status
- Active
- Certified beds
- 71
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0725547 | Pasadena Grove Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Melody Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2017 | 100% |
| David Levy | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 50% |
| Corporate Director | Jun 1, 2017 | 50% | |
| Operational/Managerial Control | Jun 1, 2017 | ||
| Moshe Silber | 5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 50% |
| Corporate Director | Jun 1, 2017 | 50% | |
| Moishe Frankel | Corporate Officer | Jun 30, 2020 | |
| Eisenhower Healthcare LLC | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.