Organization Active NPI

P & J Hospital, Inc.

  • Skilled Nursing Facility
  • Bell, CA
National Provider Identifier
1376575449
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000014 Issued in CA
Legal business name
P & J HOSPITAL, INC.
Practice address
4900 Florence Ave
Bell, CA 90201-4319
Phone
(323) 560-2045
Fax
(323) 560-0182
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Jin Y. Park
Title
President
Phone
(323) 560-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000014 CA Primary

Addresses

Primary practice location

4900 Florence Ave
Bell, CA 90201-4319

Mailing address

4900 Florence Ave
Bell, CA 90201-4319
Phone (323) 560-2045

Other identifiers 2

IdentifierTypeStateIssuer
940000014OtherCASTATE LICENSE
ZZT06218IMedicaidCA

Other names 1

  • Bell Convalescent Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000769 CA Part A Provider - Skilled Nursing Facility 7416967104 Practice locations: Bell, CA

Skilled nursing facility certification: CCN 056218

Legal name
P & J HOSPITAL, INC.
Doing business as
BELL CONVALESCENT HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 25, 1970
Last certification
Dec 5, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 15, 2005 in CA
Enrollment address
4900 Florence Ave
Bell, CA 90201-4319
Nursing home name
BELL CONVALESCENT HOSPITAL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bell Convalescent HospitalCCN 056218
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 25, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9992.4 residents per day on average
Penalties (3 years)
4Fines totaling $93,980

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
05D0726083Bell Convalescent Hospital4900 E Florence Ave, Bell, CA 90201Certificate of waiverAug 27, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Organization, Los Angeles, CA Adp of the SNF Nov 27, 2024
Timothy C Park Individual W-2 Managing EmployeeAdministrator Apr 1, 2010
Jin Yeong Park Individual 5% Or Greater Direct Ownership Interest Aug 15, 2005
Corporate Director Apr 25, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1376575449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-560-2045",
            "fax_number": "323-560-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-560-2045",
            "fax_number": "323-560-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & J HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-560-2045"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "940000014",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06218I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

Verify at the official NPI Registry.