Organization Active NPI

Jess Ranch Healthcare LLC

  • Skilled Nursing Facility
  • Apple Valley, CA
National Provider Identifier
1366091233
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 1, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 555476
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 26, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9992.1 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain
Penalties (3 years)
1Fines totaling $8,021

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Chonoch Gewirtz Individual 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 Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Oct 1, 2019 2.1%
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Dec 27, 2021
Jay Anne Escobar Individual Operational/Managerial ControlAdministrator Mar 9, 2015 100%
Adp of the SNF Apr 8, 2025
Ronald J Mayer Individual Adp of the SNF Sep 26, 2013
11959 Apple Valley Road, LLC Organization, North Hollywood, CA LLC Adp of the SNF Sep 26, 2013
Kenneth Lehmann Individual 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 Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member 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 Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Oct 1, 2019 2.1%
Mayer 2005 Revocable Trust Organization, Los Angeles, CA Adp of the SNF Jul 1, 2014
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm, For-profit Adp of the SNF Dec 27, 2021
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Oct 1, 2019 2.1%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Oct 1, 2019 2%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Oct 1, 2019 2.1%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2019 2.1%
Helene G Mayer Individual 5% Or Greater Indirect Ownership InterestTrustee Oct 1, 2019 12.5%
Adp of the SNF Sep 26, 2013
Imran Siddiqui Individual Operational/Managerial Control May 13, 2020
Adp of the SNF May 13, 2020
Menachem Gastwirth Individual 5% Or Greater Direct Ownership InterestOwner/Manager/Member 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.

Facilities with the same owner 5

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

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

Verify at the official NPI Registry.