PRN Convalescent Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000040 Issued in CA

Legal business name

PRN CONVALESCENT HOSPITAL INC

Doing business as

High Valley Lodge

Practice address

7912 Topley LN
Sunland, CA 91040-3336

Phone

(818) 352-3158

Fax

(818) 352-3718

NPI assigned

Nov 22, 2006

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Luis M Albert

Title

Ceo

Phone

(818) 352-3158

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HIGH VALLEY LODGE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366517393. Details of each certification follow.

• CCN 055856 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055856

Legal name

PRN CONVALESCENT HOSPITAL INC

Doing business as

HIGH VALLEY LODGE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1979

Last certification

Aug 11, 2024

Beds

50

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 19, 1989 in CA

Enrollment address

7912 Topley LN
Sunland, CA 91040-3336

Nursing home name

HIGH VALLEY LODGE

Listed as

High Valley LodgeCCN 055856 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5047.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Adp of the SNF, Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

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.

• William F Schubert, M.D.

  • Family Medicine Physician
  • La Canada, CA
  • NPI 1801874003
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907

  Nursing home

  Care Compare affiliation
• Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1952423014

  Nursing home

  Care Compare affiliation
• Robert H Rivera, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1659447977

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1366517393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 TOPLEY LN",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403336",
            "telephone_number": "818-352-3158",
            "fax_number": "818-352-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 TOPLEY LN",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403336",
            "telephone_number": "818-352-3158",
            "fax_number": "818-352-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN CONVALESCENT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-352-3158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05856H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH VALLEY LODGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIGH VALLEY LODGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Sunland, CA
• Providers in Sunland, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.