Active NPI
Alakor Healthcare LLC
Doing business as Monrovia Memorial Hospital
- Long Term Care Hospital
- Monrovia, CA
National Provider Identifier
1265601561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 930000107
- Legal business name
- ALAKOR HEALTHCARE LLC
- Doing business as
- Monrovia Memorial Hospital
- Practice address
- 323 S Heliotrope Ave
Monrovia, CA 91016-2914 - Phone
- (626) 408-9800
- Fax
- (626) 408-9809
- NPI assigned
- Feb 21, 2008
- Last updated
- Jun 23, 2009
- 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. Ron Kupferstein
- Title
- Chief Executive Officer
- Phone
- (626) 408-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 930000107 | CA | Primary |
Addresses
Primary practice location
323 S Heliotrope Ave
Monrovia, CA 91016-2914
Mailing address
323 S Heliotrope Ave
Monrovia, CA 91016-2914
Phone (626) 408-9800
Other names 1
- Monrovia Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090618000708 | CA | Part A Provider - Hospital | 0648355891 | Practice locations: Monrovia, CA |
NPI to CCN mapping 3
The Medicare certification numbers (CCNs) connected to NPI 1265601561. Details of each certification follow.
Hospital certification: CCN 052054
- Legal name
- ALAKOR HEALTHCARE LLC
- Doing business as
- MONROVIA MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- May 1, 2009
- Last certification
- Jul 18, 2023
- Beds
- 49
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Aug 25, 2007 in CA
- Enrollment address
- 323 S Heliotrope Ave
Monrovia, CA 91016-2914 - Hospital subgroups
- General, Acute care
Hospital certification: CCN 050155
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MONROVIA COMMUNITY HOSPITAL
- Certification status
- Terminated Involuntary: failure to meet health/safety requirements, May 26, 2004
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 31, 1998
- Beds
- 49
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Oct 1, 1998 (1 total)
- Facility address
- 323 S Heliotrope Ave
Monrovia, CA 91016
Hospital certification: CCN 050762
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MONROVIA MEMORIAL HOSPITAL
- Certification status
- Terminated Other: provider status change, Apr 30, 2009
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 10, 2008
- Last certification
- Oct 10, 2008
- Beds
- 49
- Ownership / control type
- Private (for profit)
- Facility address
- 323 South Heliotrope Avenue
Monrovia, CA 91016
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Monrovia Memorial Hospital
- Ownership
- For profit
- Certified
- May 1, 2009
- Medicare certification status
- Active
- Beds
- 49
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 |
|---|---|---|---|
| 05D1079813 | Alakor Healthcare, LLC | Accreditation | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Alakor Healthcare LLC | 5% Or Greater Direct Ownership Interest | Oct 3, 2008 | 100% |
| Ronald Kupferstein | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 17.6% |
| Corporate Officer | Sep 30, 2022 | 17.6% | |
| Corporate Director | Jul 7, 2007 | 15% | |
| W-2 Managing Employee | Jul 7, 2007 | 15% | |
| Kevin Smith | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 70.6% |
| Corporate Officer | Jul 7, 2007 | 70.6% | |
| Corporate Director | Jul 7, 2007 | 60% | |
| Lawrence J Domaracki | 5% Or Greater Indirect Ownership Interest | Sep 30, 2022 | 11.8% |
| Corporate Officer | Jul 7, 2007 | 10% | |
| Corporate Director | Jul 7, 2007 | 10% |
Practitioners & affiliated clinicians
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Palmdale, CA
- NPI 1922172089
Long-term care hospital
-
- Internal Medicine Physician
- South El Monte, CA
- NPI 1265467435
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245715200000",
"number": "1265601561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S HELIOTROPE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162914",
"telephone_number": "626-408-9800",
"fax_number": "626-408-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S HELIOTROPE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162914",
"telephone_number": "626-408-9800",
"fax_number": "626-408-9809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAKOR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-21",
"last_updated": "2009-06-23",
"status": "A",
"authorized_official_last_name": "KUPFERSTEIN",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "626-408-9800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "CA",
"license": "930000107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Monrovia Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.