Active NPI
Jess Ranch Healthcare LLC
- Skilled Nursing Facility
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- JESS RANCH HEALTHCARE LLC
- Practice address
- 11959 Apple Valley Rd
Apple Valley, CA 92308-7507 - Phone
- (917) 842-8361
- NPI assigned
- Sep 4, 2019
- 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
- Chonoch Gewirtz
- Title
- Cfo
- Phone
- (917) 842-8361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
11959 Apple Valley Rd
Apple Valley, CA 92308-7507
Mailing address
6442 Coldwater Canyon Ave Ste 100
North Hollywood, CA 91606-1191
Phone (917) 842-8361
Other names 1
- Apple Valley 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 |
|---|---|---|---|---|
| O20191118001954 | CA | Part A Provider - Skilled Nursing Facility | 5496187130 | Practice locations: Apple Valley, CA |
Skilled nursing facility certification: CCN 555476
- Legal name
- JESS RANCH HEALTHCARE, LLC
- Doing business as
- APPLE VALLEY CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 26, 1991
- Last certification
- Oct 17, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 18, 2019 in CA
- Enrollment address
- 11959 Apple Valley Rd
Apple Valley, CA 92308-7507 - Nursing home name
- APPLE VALLEY CARE CENTER
- Affiliated entity
- ABRAHAM BAK & MENACHEM GASTWIRTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Apple Valley Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 26, 1991
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Abraham Bak & Menachem Gastwirth
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 | Oct 1, 2019 | 5% |
| Adp of the SNF | May 13, 2020 | ||
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2.1% |
| Mgaz Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Jay Anne Escobar | Operational/Managerial Control | Mar 9, 2015 | 100% |
| Adp of the SNF | Apr 8, 2025 | ||
| Ronald J Mayer | Adp of the SNF | Sep 26, 2013 | |
| 11959 Apple Valley Road, LLC | Adp of the SNF | Sep 26, 2013 | |
| Kenneth Lehmann | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 27.5% |
| Operational/Managerial Control | May 13, 2020 | ||
| Adp of the SNF | May 13, 2020 | ||
| Abraham Bak | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 27.5% |
| Operational/Managerial Control | May 13, 2020 | ||
| Adp of the SNF | Sep 26, 2013 | ||
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2.1% |
| Mayer 2005 Revocable Trust | Adp of the SNF | Jul 1, 2014 | |
| Abak Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2.1% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2.1% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 2.1% |
| Helene G Mayer | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 12.5% |
| Adp of the SNF | Sep 26, 2013 | ||
| Imran Siddiqui | Operational/Managerial Control | May 13, 2020 | |
| Adp of the SNF | May 13, 2020 | ||
| Menachem Gastwirth | 5% Or Greater Direct Ownership Interest | Oct 10, 2019 | 27.5% |
| Operational/Managerial Control | May 13, 2020 | ||
| Adp of the SNF | Sep 26, 2013 |
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
- Victorville, CA
- NPI 1134535792
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1831724509
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Arcadia, CA
- NPI 1053976266
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem
-
- Skilled Nursing Facility
- Temple City, CA
- NPI 1396806998
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Pasadena, CA
- NPI 1457719783
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Santa Maria, CA
- NPI 1326670910
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
Practitioners & affiliated clinicians
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": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1366091233",
"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": "11959 APPLE VALLEY RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923087507",
"telephone_number": "917-842-8361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESS RANCH HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "GEWIRTZ",
"authorized_official_first_name": "CHONOCH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "917-842-8361"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Apple Valley Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.