Active NPI
B & E Convalescent Center Inc
Doing business as Gardena Care Center
- Skilled Nursing Facility
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 910000136
- Legal business name
- B & E CONVALESCENT CENTER INC
- Doing business as
- Gardena Care Center
Gardena Convalescent Center - Practice address
- 14819 S Vermont Ave
Gardena, CA 90247-3002 - Phone
- (310) 532-9460
- Fax
- (310) 532-0083
- NPI assigned
- Dec 14, 2005
- Last updated
- Aug 28, 2026
- 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
- Ms. Tammy Mora
- Title
- Associate Director of PT Accounting
- Phone
- (562) 576-1284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 910000136 | CA | Primary |
Addresses
Primary practice location
14819 S Vermont Ave
Gardena, CA 90247-3002
Mailing address
14819 S Vermont Ave
Gardena, CA 90247-3002
Phone (310) 532-9460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06019F | Medicaid | CA |
Other names 2
- Gardena Care Center
- Gardena Convalescent 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 |
|---|---|---|---|---|
| O20031208001020 | CA | Part A Provider - Skilled Nursing Facility | 9638075088 | Practice locations: Gardena, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346225059. Details of each certification follow.
Skilled nursing facility certification: CCN 056019
- Legal name
- B & E CONVALESCENT CENTER INC
- Doing business as
- GARDENA CONVALESCENT CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 30, 1970
- Last certification
- Jan 24, 2025
- Beds
- 74
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 14819 S Vermont Ave
Gardena, CA 90247-3002 - Nursing home name
- GARDENA CONVALESCENT CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Gardena Convalescent Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 30, 1970
- Medicare certification status
- Active
- Certified beds
- 74
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 |
|---|---|---|---|
| 05D0884844 | Gardena Convalescent Center | Certificate of waiver | Apr 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
14819 S Vermont Ave
Gardena, CA 90247
Phone (310) 532-9460
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Heidi M Austria | Operational/Managerial Control | Apr 13, 2016 | |
| Managing Control - Governing Body | Apr 13, 2016 | ||
| Adp of the SNF | Apr 13, 2016 | ||
| Rebecca Weiss | Operational/Managerial Control | Jul 1, 2003 | |
| Managing Control - Governing Body | Jul 1, 2003 | ||
| Adp of the SNF | Jul 1, 2003 | ||
| Gavrielle Fried Exempt Trust Under the Gavrielle Fried Family 2008 Gra | 5% Or Greater Direct Ownership Interest | Aug 16, 2008 | 22.5% |
| Adp of the SNF | Aug 15, 2008 | ||
| Hansen Hunter LLC | Adp of the SNF | Jan 1, 2022 | |
| Barry J Weiss | Corporate Officer | Jan 14, 2004 | |
| Operational/Managerial Control | Jan 14, 2004 | ||
| Adp of the SNF | Jan 14, 2004 | ||
| College Health Enterprises, LLC | Operational/Managerial Control | Jul 1, 2003 | |
| Adp of the SNF | Nov 11, 2025 | ||
| Barry & Esther Weiss Living Trust U/T/D October 15, 1984 | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 10% |
| Adp of the SNF | Aug 15, 2008 | ||
| Esther Weiss | Corporate Officer | Jan 14, 2004 | |
| Corporate Director | Jan 14, 2004 | ||
| LTC Investors G, LLC | Adp of the SNF | Feb 7, 2006 | |
| Armen Hovhannisyan | Operational/Managerial Control | Aug 1, 2014 | |
| Managing Control - Governing Body | Aug 1, 2014 | ||
| Adp of the SNF | Aug 1, 2014 | ||
| Marvin Fried Exempt Trust Under the Gavrielle Fried Family 2008 Gra | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 22.5% |
| Adp of the SNF | Aug 15, 2008 | ||
| Shimson Weiss Exempt Trust Under the Shimson Weiss Family 2008 Grantor | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 22.5% |
| Adp of the SNF | Aug 15, 2008 | ||
| Shimson Weiss Exempt Trust Under the Shimson Weiss Family 2008 Grantor | 5% Or Greater Direct Ownership Interest | Aug 15, 2008 | 22.5% |
| Adp of the SNF | Aug 15, 2008 | ||
| Clear Advantage Consulting, LLC | Operational/Managerial Control | Jul 2, 2018 | |
| Adp of the SNF | Nov 11, 2025 | ||
| Jonah Weiss | Operational/Managerial Control | Nov 16, 2012 | |
| Managing Control - Governing Body | Nov 16, 2012 | ||
| Adp of the SNF | Nov 16, 2012 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Inglewood, CA
- NPI 1740488998
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Glendora Hospital
- Psychiatric Hospital
- Glendora, CA
- NPI 1487249298
College Health Enterprises, LLC
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.
-
- Internal Medicine Physician
- Inglewood, CA
- NPI 1740488998
Affiliated clinicians 4
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": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1346225059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14819 S VERMONT AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473002",
"telephone_number": "310-532-9460",
"fax_number": "310-532-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14819 S VERMONT AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473002",
"telephone_number": "310-532-9460",
"fax_number": "310-532-0083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B & E CONVALESCENT CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "MORA",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PT ACCOUNTING",
"authorized_official_telephone_number": "562-576-1284",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "910000136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06019F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gardena Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gardena Convalescent Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gardena Convalescent Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.