Active NPI
WDW Joint Venture
Doing business as Downey Community Health Center
- Nursing Facility/Intermediate Care Facility
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 940000223
- Legal business name
- WDW JOINT VENTURE
- Doing business as
- Downey Community Health Center
- Practice address
- 8425 Iowa St
Downey, CA 90241-4929 - Phone
- (562) 862-6506
- NPI assigned
- May 31, 2005
- Last updated
- Dec 10, 2013
- 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. Richard Coberly
- Title
- Administrator
- Phone
- (562) 862-6506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 940000223 | CA | Primary |
Addresses
Primary practice location
8425 Iowa St
Downey, CA 90241-4929
Mailing address
PO Box 340
8425 Iowa Street
Downey, CA 90241-0340
Phone (562) 862-6506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55128F | Medicaid | CA |
Other names 1
- Downey Community Health 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 |
|---|---|---|---|---|
| O20100420000371 | CA | Part A Provider - Skilled Nursing Facility | 2365579547 | Practice locations: Downey, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255334587. Details of each certification follow.
Skilled nursing facility certification: CCN 555128
- Legal name
- WDW JOINT VENTURE
- Doing business as
- DOWNEY COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 25, 1980
- Last certification
- Apr 10, 2025
- Beds
- 198
- Ownership / control type
- Partnership
- Organization structure
- Partnership
- Incorporated
- Oct 26, 1978 in CA
- Enrollment address
- 8425 Iowa St
Downey, CA 90241-4929 - Nursing home name
- DOWNEY COMMUNITY HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Downey Community Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Mar 25, 1980
- Medicare certification status
- Active
- Certified beds
- 198
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 |
|---|---|---|---|
| 05D0725527 | Downey Community Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Leah Rosenbaum Family 2008 Grantor Trust | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | |
| LTC Investors D-BW, LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 | |
| WDW Joint Venture | 5% Or Greater Direct Ownership Interest | Mar 24, 1980 | 100% |
| Barry J Weiss | 5% Or Greater Direct Ownership Interest | Sep 18, 2013 | 14% |
| 5% Or Greater Mortgage Interest | Sep 18, 2013 | 14% | |
| General Partnership Interest | Sep 18, 2013 | 14% | |
| Leah Rosenbaum | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | |
| LTC Investors D-HJ LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 | |
| Richard Coberly | Operational/Managerial Control | Aug 1, 2008 | |
| Sheryl Rosenberg | 5% Or Greater Direct Ownership Interest | Jan 5, 2012 | 37% |
| 5% Or Greater Mortgage Interest | Jan 5, 2012 | 37% | |
| General Partnership Interest | Jan 5, 2012 | 37% | |
| Frankel Family Trust | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 | |
| Diller Family Trust | 5% Or Greater Direct Ownership Interest | Apr 1, 2010 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1255334587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"address_2": "8425 IOWA STREET",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902410340",
"telephone_number": "562-862-6506",
"fax_number": "562-869-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8425 IOWA ST",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414929",
"telephone_number": "562-862-6506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WDW JOINT VENTURE",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "COBERLY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "562-862-6506",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "940000223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55128F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Downey Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.