Active NPI
Autumn Hills Operating Company, LP
Doing business as Autumn Hills Healthcare Center
- Skilled Nursing Facility
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 920000127
- Legal business name
- AUTUMN HILLS OPERATING COMPANY, LP
- Doing business as
- Autumn Hills Healthcare Center
- Practice address
- 430 N Glendale Ave
Glendale, CA 91206-3309 - Phone
- (818) 246-5677
- Fax
- (818) 546-1213
- NPI assigned
- Jul 15, 2011
- Last updated
- Oct 22, 2014
- 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
- Mrs. Andrea Saavedra
- Title
- Regional Financial Analyst
- Phone
- (707) 208-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 920000127 | CA | Primary |
Addresses
Primary practice location
430 N Glendale Ave
Glendale, CA 91206-3309
Mailing address
430 N Glendale Ave
Glendale, CA 91206-3309
Phone (818) 246-5677
Other names 1
- Autumn Hills Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111031000751 | CA | Part A Provider - Skilled Nursing Facility | 4284807694 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245528926. Details of each certification follow.
Skilled nursing facility certification: CCN 055288
- Legal name
- AUTUMN HILLS OPERATING COMPANY LP
- Doing business as
- AUTUMN HILLS HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1978
- Last certification
- Jun 6, 2025
- Beds
- 92
- Ownership / control type
- Corporation
- Multi-facility organization
- MARINER HEALTH CARE
- Most recent change of ownership
- Nov 1, 2011
- Organization structure
- Partnership
- Enrollment address
- 430 N Glendale Ave
Glendale, CA 91206-3309 - Nursing home name
- AUTUMN HILLS HEALTH CARE CENTER
- Affiliated entity
- MARINER HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Autumn Hills Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1978
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Mariner Health Care
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Narineh Arutyounian | Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Jackie Moon | Operational/Managerial Control | Dec 21, 2010 | |
| Managing Control - Governing Body | Dec 21, 2010 | ||
| Adp of the SNF | Dec 21, 2010 | ||
| Grancare LLC | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| MHC West Holding Company | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| National Senior Care, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| MHC Holding Company | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| Steven D Kamajian | Operational/Managerial Control | Jan 1, 2011 | |
| Adp of the SNF | Jan 1, 2011 | ||
| Mariner Health Care, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| GC Operating Company LLC | 5% Or Greater Direct Ownership Interest | Dec 9, 2019 | 99% |
| Limited Partnership Interest | Dec 9, 2019 | 99% | |
| Autumn Hills Operating Company GP LLC | General Partnership Interest | Aug 27, 2014 | 1% |
| Emily Grunstein | 5% Or Greater Indirect Ownership Interest | Feb 6, 2019 | 100% |
| Shushan Petrosyan | Operational/Managerial Control | Jan 1, 2018 | |
| Managing Control - Governing Body | Jan 1, 2018 | ||
| Adp of the SNF | Jan 1, 2018 | ||
| Dennis Sarcauga | Operational/Managerial Control | Feb 6, 2025 | |
| Managing Control - Governing Body | Feb 6, 2025 | ||
| Adp of the SNF | Feb 6, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1841248309
Adp of the SNF, Operational/Managerial Control
-
- Family Medicine Physician
- Montrose, CA
- NPI 1295703320
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Almaden Health and Rehabilitation Center
- Skilled Nursing Facility
- San Jose, CA
- NPI 1548558521
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Creekside Health Care Center
- Skilled Nursing Facility
- San Pablo, CA
- NPI 1306269386
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Driftwood Healthcare Center - Hayward
- Skilled Nursing Facility
- Hayward, CA
- NPI 1871881557
GC Operating Company LLC, Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Driftwood Healthcare Center - Santa Cruz
- Skilled Nursing Facility
- Santa Cruz, CA
- NPI 1457649436
GC Operating Company LLC, Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Fremont Healthcare Center
- Skilled Nursing Facility
- Fremont, CA
- NPI 1194120600
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Fruitvale Healthcare Center
- Skilled Nursing Facility
- Oakland, CA
- NPI 1144856535
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Hayward Hills Healthcare Center
- Skilled Nursing Facility
- Hayward, CA
- NPI 1801868302
GC Operating Company LLC, Grancare LLC, MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Inglewood Healthcare Center
- Skilled Nursing Facility
- Inglewood, CA
- NPI 1013989656
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Monterey Palms Health Care Center
- Skilled Nursing Facility
- Palm Desert, CA
- NPI 1326336009
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Palm Springs Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Palm Springs, CA
- NPI 1861896805
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Village Square Healthcare Center
- Skilled Nursing Facility
- San Marcos, CA
- NPI 1114392511
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
dba Pine Ridge Care Center
- Skilled Nursing Facility
- San Rafael, CA
- NPI 1659610814
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Montrose, CA
- NPI 1295703320
Affiliated clinicians 12
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": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1245528926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063309",
"telephone_number": "818-246-5677",
"fax_number": "818-546-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063309",
"telephone_number": "818-246-5677",
"fax_number": "818-546-1213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN HILLS OPERATING COMPANY, LP",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-15",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "SAAVEDRA",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
"authorized_official_telephone_number": "707-208-1940",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "920000127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn Hills Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.