Organization Active NPI

Valley Village Care Center LLC

Doing business as Valley Village Care Center

  • Skilled Nursing Facility
  • North Hollywood, CA
National Provider Identifier
1326640707
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLEY VILLAGE CARE CENTER LLC
Doing business as
Valley Village Care Center
Practice address
13000 Victory Blvd
North Hollywood, CA 91606-2926
Phone
(818) 985-5990
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Mr. Chonoch Gewirtz
Title
Member
Phone
(917) 842-8361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13000 Victory Blvd
North Hollywood, CA 91606-2926

Mailing address

6442 Coldwater Canyon Ave Ste 100
North Hollywood, CA 91606-1191
Phone (917) 842-8361

Other names 1

  • VALLEY VILLAGE CARE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416001345 CA Part A Provider - Skilled Nursing Facility 6608284351 Practice locations: North Hollywood, CA

Skilled nursing facility certification: CCN 555012

Legal name
VALLEY VILLAGE CARE CENTER LLC
Doing business as
VALLEY VILLAGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1979
Last certification
Feb 17, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 19, 2020 in CA
Enrollment address
13000 Victory Blvd
North Hollywood, CA 91606-2926
Nursing home name
VALLEY VILLAGE CARE CENTER
Affiliated entity
ABRAHAM BAK & MENACHEM GASTWIRTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valley Village Care CenterCCN 555012 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.5 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0561867Valley Village Care Center13000 Victory Blvd, North Hollywood, CA 91606Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Chonoch Gewirtz Individual 5% Or Greater Direct Ownership InterestOwner/Member Feb 1, 2021 7%
Adp of the SNF Sep 7, 2021
Juda Bak Individual Adp of the SNF Aug 22, 2020
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Dec 27, 2021
Individual Operational/Managerial Control Feb 28, 2021
Adp of the SNF Feb 28, 2021
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA For-profit Adp of the SNF Aug 22, 2020
Bagz Holdings, LLC Organization, North Hollywood, CA LLC, Holding company, For-profit Adp of the SNF Aug 22, 2020
Kenneth Lehmann Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member Feb 1, 2021 33%
Operational/Managerial Control Sep 7, 2021
Adp of the SNF Sep 7, 2021
Abraham Bak Individual 5% Or Greater Direct Ownership InterestManager / Owner/Member Feb 1, 2021 30%
Corporate OfficerManager / Owner/Member Feb 1, 2021
Operational/Managerial Control Sep 7, 2021
Adp of the SNF Sep 7, 2021
Henry Gastwirth Individual Adp of the SNF Aug 22, 2020
Alexandrea Ang Individual Operational/Managerial Control Jul 16, 2024
Adp of the SNF May 15, 2025
Nurit Ruber Individual Operational/Managerial ControlAdministrator Feb 1, 2021 100%
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Dec 27, 2021
13000 Victory Boulevard Real Estate, LLC Organization, North Hollywood, CA LLC, For-profit Adp of the SNF Aug 22, 2020
Menachem Gastwirth Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 30%
Operational/Managerial Control Sep 7, 2021
Adp of the SNF Sep 7, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1326640707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191",
            "telephone_number": "917-842-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062926",
            "telephone_number": "818-985-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAGE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "CHONOCH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-842-8361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY VILLAGE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.