Hyde Park Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000066 Issued in CA

Legal business name

HYDE PARK REHABILITATION CENTER LLC

Doing business as

Hyde Park Healthcare Center

Practice address

6520 West Blvd
Los Angeles, CA 90043-4311

Phone

(323) 753-1354

Fax

(323) 210-3790

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Jason Roberts

Title

Owner

Phone

(909) 230-1455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hyde Park Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056435

Legal name

HYDE PARK REHABILITATION CENTER LLC

Doing business as

HYDE PARK HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 27, 1974

Last certification

Jun 28, 2024

Beds

72

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

May 31, 2016 in CA

Enrollment address

6520 West Blvd
Los Angeles, CA 90043-4311

Nursing home name

HYDE PARK HEALTHCARE CENTER

Listed as

Hyde Park Healthcare CenterCCN 056435 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 27, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7259.2 residents per day on average

Special focus status

SFF Candidate

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

6Fines totaling $216,270

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brittany Nicole Brinley, D.O.

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1649616855

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Casey Leonard Charlton, MD

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1588285910

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1275088916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 WEST BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434311",
            "telephone_number": "909-230-1455",
            "fax_number": "323-210-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 WEST BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434311",
            "telephone_number": "323-753-1354",
            "fax_number": "323-210-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-230-1455"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05326G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde Park Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hyde Park Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lien Hy, PMHNP-BC
• Jessica Hyatt, AMFT, APCC
• Joel D. Hyatt, MD
• Stephanie Hydal
• Hyde Park Convalescent Hospital, Inc. (Hyde Park Convalescent Hospital)
• Christen A Hyde-Treuhaft, NP
• Kyrie Hyde
• Manly R. Hyde, MD
• Tre' Jor La'Nae Hyde
• Hye Won Moon D.D.S. Inc.

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.

Verify at the official NPI Registry.