Active NPI
Valley Village Care Center LLC
Doing business as Valley Village Care Center
- Skilled Nursing Facility
- North Hollywood, CA
National Provider Identifier
1326640707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1979
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Abraham Bak & Menachem Gastwirth
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 |
|---|---|---|---|
| 05D0561867 | Valley Village Care Center | Certificate of waiver | Jul 7, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Chonoch Gewirtz | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 7% |
| Adp of the SNF | Sep 7, 2021 | ||
| Juda Bak | Adp of the SNF | Aug 22, 2020 | |
| Mgaz Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Operational/Managerial Control | Feb 28, 2021 | ||
| Adp of the SNF | Feb 28, 2021 | ||
| Abe and Rachel Bak Family Trust | Adp of the SNF | Aug 22, 2020 | |
| Bagz Holdings, LLC | Adp of the SNF | Aug 22, 2020 | |
| Kenneth Lehmann | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 33% |
| Operational/Managerial Control | Sep 7, 2021 | ||
| Adp of the SNF | Sep 7, 2021 | ||
| Abraham Bak | 5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 30% |
| Corporate Officer | Feb 1, 2021 | ||
| Operational/Managerial Control | Sep 7, 2021 | ||
| Adp of the SNF | Sep 7, 2021 | ||
| Henry Gastwirth | Adp of the SNF | Aug 22, 2020 | |
| Alexandrea Ang | Operational/Managerial Control | Jul 16, 2024 | |
| Adp of the SNF | May 15, 2025 | ||
| Nurit Ruber | Operational/Managerial Control | Feb 1, 2021 | 100% |
| Abak Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| 13000 Victory Boulevard Real Estate, LLC | Adp of the SNF | Aug 22, 2020 | |
| Menachem Gastwirth | 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.
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1164685111
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Reseda, CA
- NPI 1235517665
Nursing home
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
- Valley Living Center Inc.
- Valley Medical Clinic Inc
- Valley Regency Care, Inc.
- Valley View Congregate Living
- Valley View Congregate Living Facility, Inc.
- Valley Village Pharmacy, Inc. (Valley Village Pharmacy)
- Valley Village Pharmacy, Inc.
- Valley Vista Nursing and Transitional Care LLC
- Valley Vista Residential Manor LLC (Valley Manor Guest Home)
- Valleys Finest Hospice Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.