Imperial Crest Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

910000054 Issued in CA

Legal business name

IMPERIAL CREST HEALTHCARE CENTER, LLC

Doing business as

Imperial Crest Health Care Center

Practice address

11834 Inglewood Ave
Hawthorne, CA 90250-0107

Phone

(310) 679-1461

Fax

(310) 679-2511

NPI assigned

Oct 4, 2006

Last updated

Jun 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Friedman

Title

Managing Member

Phone

(213) 389-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Imperial Crest Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316033087. Details of each certification follow.

• CCN 555719 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555719

Legal name

IMPERIAL CREST HEALTHCARE CENTER LLC

Doing business as

IMPERIAL CREST HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 16, 1997

Last certification

Apr 4, 2025

Beds

105

Ownership / control type

Corporation

Multi-facility organization

Longwood Management Corporation

Organization structure

LLCProprietary

Enrollment address

11834 Inglewood Ave
Hawthorne, CA 90250-0107

Nursing home name

IMPERIAL CREST HEALTH CARE CENTER

Affiliated entity

LONGWOOD MANAGEMENT CORPORATION

Listed as

Imperial Crest Health Care CenterCCN 555719 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 16, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10593.5 residents per day on average

Chain

Longwood Management Corporation38 facilities in the chain

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

Locations

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ability Homecare, Inc

  dba Sherman Oaks Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Sherman Oaks, CA
  • NPI 1316018310

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Achieva Hospice Inc

  dba Mission Hospice of the Inland Empire

  • Community Based Hospice Care Agency
  • Upland, CA
  • NPI 1700280328

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Alden Enterprises LLC

  dba Alden Terrace Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1568544781

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Artesia Healthcare, Inc

  dba Alameda Care Center

  • Skilled Nursing Facility
  • Burbank, CA
  • NPI 1316019482

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Beaumont Manor LLC

  dba Highland Springs Care Center

  • Skilled Nursing Facility
  • Beaumont, CA
  • NPI 1376963785

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Burbank Healthcare LLC

  dba Burbank Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Burbank, CA
  • NPI 1518036060

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Canoga Healthcare LLC

  dba West Hills Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Canoga Park, CA
  • NPI 1487734935

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Cerritos Vista Healthcare Center LLC

  dba Cerritos Vista Healthcare Center

  • Skilled Nursing Facility
  • Bellflower, CA
  • NPI 1407373350

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Chino Valley Rehabilitation Center LLC

  dba Chino Valley Healthcare Center

  • Skilled Nursing Facility
  • Pomona, CA
  • NPI 1558441022

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Coldwater Care Center LLC

  dba Sherman Village Healthcare Center

  • Skilled Nursing Facility
  • N Hollywood, CA
  • NPI 1790854180

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Colonial Care Center Inc.

  dba Colonial Care Center

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1639257165

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Covina Care Center, Inc.

  dba Covina Rehabilitation Center

  • Skilled Nursing Facility
  • Covina, CA
  • NPI 1992885958

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership

Affiliated clinicians 3

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

• Paymon Banafshe, D.O.

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1346341575

  Nursing home

  Care Compare affiliation
• Jamshid Niknam, M.D.

  • Pulmonary Disease Physician
  • Inglewood, CA
  • NPI 1134132798

  Nursing home

  Care Compare affiliation
• Jagdeep Singh Tung, MD

  • Hospitalist Physician
  • Manhattan Beach, CA
  • NPI 1013973783

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1316033087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902500107",
            "telephone_number": "310-679-1461",
            "fax_number": "310-679-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL CREST HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-389-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "910000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55719F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Crest Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ibarra, MSN, FNP-C
• Ideal Home Care
• Teddy Idehen, BSC, COUNSELOR
• Jude Emeka Ikegbu, PHARM D
• Augustine Iluore, MD
• Florizza B. Infante, B.S.
• Rhonda Beth Infante, DNP, APRN, FNP-BC
• Elvira Alinea Inocentes, DDS
• Integrated Therapy Solutions
• Terry Ishihara, MD

• Skilled Nursing Facility in Hawthorne, CA
• Providers in Hawthorne, 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 Jun 22, 2016; 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.