Organization Active NPI

Washington Enterprises III, LLC

Doing business as St. Andrews Healthcare

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1346221819
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WASHINGTON ENTERPRISES III, LLC
Doing business as
St. Andrews Healthcare
Practice address
2300 W. Washington Blvd.
Los Angeles, CA 90018-1445
Phone
(323) 731-0861
Fax
(323) 735-0616
NPI assigned
Nov 10, 2005
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Nathaniel Rivera Chivi
Title
Administrator
Phone
(323) 731-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2300 W. Washington Blvd.
Los Angeles, CA 90018-1445

Mailing address

2300 W. Washington Blvd.
Los Angeles, CA 90018-1445
Phone (323) 731-0861

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18658GMedicaidCA

Other names 1

  • St. Andrews Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130803000007 CA Part A Provider - Skilled Nursing Facility 5092957084 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346221819. Details of each certification follow.

Skilled nursing facility certification: CCN 555218

Legal name
WASHINGTON ENTERPRISES III LLC
Doing business as
ST ANDREWS HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 21, 1986
Last certification
Apr 18, 2025
Beds
59
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 1, 1999 in CA
Enrollment address
2300 W Washington Blvd
Los Angeles, CA 90018-1445
Nursing home name
ST ANDREWS
Affiliated entity
CHARIS TRUST DTD 12/22/16

Care Compare: Nursing home

Medicare Care Compare
Listed as
St AndrewsCCN 555218 · All quality measures
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 21, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5953.1 residents per day on average
Chain
Charis Trust DTD 12/22/166 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
05D0885848St Andrews Healthcare2300 W Washington Blvd, Los Angeles, CA 90018Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Christian Villaluz Individual Operational/Managerial Control Sep 16, 2024
Adp of the SNF Nov 5, 2025
Washington Enterprises III LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Feb 21, 1986
Indirect Ownership Interest Feb 21, 1986
Emmanuel Beltran David Individual Corporate OfficerPresident Apr 1, 1999 1%
Corporate DirectorManaging Board Member Apr 1, 1999 1%
Direct Ownership Interest Dec 22, 2016 1%
Ali Hadadz Individual Operational/Managerial Control May 4, 2026
Adp of the SNF May 4, 2026
Ramona T Villaluz Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
Ofelia T David Individual Direct Ownership Interest Dec 22, 2016 1%
Denise Steve Individual Managing Control - Governing BodyMember Jan 1, 2021
Adp of the SNF Jan 1, 2021
Charis TR DTD 12/22/2016 Organization, Torrance, CA 5% Or Greater Direct Ownership Interest Dec 22, 2016 98%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1346221819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W. WASHINGTON BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181445",
            "telephone_number": "323-731-0861",
            "fax_number": "323-735-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W. WASHINGTON BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181445",
            "telephone_number": "323-731-0861",
            "fax_number": "323-735-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ENTERPRISES III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "CHIVI",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-731-0861"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18658G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Andrews Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.