Burlington Convalescent Hospital LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000063 Issued in CA

Legal business name

BURLINGTON CONVALESCENT HOSPITAL LLC

Practice address

845 S Burlington Ave
Los Angeles, CA 90057-4207

Phone

(213) 381-5585

Fax

(213) 381-1291

NPI assigned

Nov 1, 2006

Last updated

Sep 29, 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

Ira David Friedman

Title

Manager

Phone

(213) 389-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BURLINGTON CONVALESCENT HOSPITAL Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407934946. Details of each certification follow.

• CCN 056326 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056326

Legal name

BURLINGTON CONVALESCENT HOSPITAL LLC

Doing business as

BURLINGTON CONVALESCENT HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1974

Last certification

Feb 21, 2025

Beds

124

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

845 S Burlington Ave
Los Angeles, CA 90057-4207

Nursing home name

BURLINGTON CONVALESCENT HOSPITAL

Affiliated entity

LONGWOOD MANAGEMENT CORPORATION

Listed as

Burlington Convalescent HospitalCCN 056326 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

124116.2 residents per day on average

Chain

Longwood Management Corporation38 facilities in the chain

Penalties (3 years)

1Fines totaling $8,278

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 37

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.

• Doeyoung Kim, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093913444

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 15

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

• Alden Enterprises LLC

  dba Alden Terrace Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1568544781

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Broadway Manor Care Center LLC

  dba Broadway Manor Care Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1053480418

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Casa Bonita Convalescent Hospital LLC

  dba Casa Bonita Convalescent Hospital

  • Skilled Nursing Facility
  • San Dimas, CA
  • NPI 1730269234

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Green Acres Lodge LLC

  dba Green Acres Healthcare Center

  • Skilled Nursing Facility
  • Rosemead, CA
  • NPI 1669552022

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Icc Convalescent LLC

  dba Imperial Care Center

  • Skilled Nursing Facility
  • Studio City, CA
  • NPI 1265502405

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Longwood Enterprises LLC

  dba Longwood Manor Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1235213810

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Magnolia Gardens Convalescent Hospital LLC

  dba Magnolia Gardens Convalescent Hospital

  • Skilled Nursing Facility
  • Granada Hills, CA
  • NPI 1588750202

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Care Center LLC

  CMS ownership
• Normandie Wilshire Retirement Hotel LLC

  dba California Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1932286671

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Northridge Care Center LLC

  dba Northridge Care Center

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1093890253

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• San Gabriel Convalescent Center LLC

  dba San Gabriel Convalescent Center

  • Skilled Nursing Facility
  • Rosemead, CA
  • NPI 1215011556

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Shea Healthcare Center LLC

  dba Whittier Pacific Care Center

  • Skilled Nursing Facility
  • Whittier, CA
  • NPI 1679657993

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Studio City Convalescent Hospital LLC

  dba Studio City Rehabilitation Center

  • Skilled Nursing Facility
  • Studio City, CA
  • NPI 1821160839

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership

Affiliated clinicians 3

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

• Peter H. Lee, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1932237013

  Nursing home

  Care Compare affiliation
• Dong W Mun, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1053346940

  Nursing home

  Care Compare affiliation
• James Jinhong Yang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467816744

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1407934946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-384-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S BURLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574207",
            "telephone_number": "213-381-5585",
            "fax_number": "213-381-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON CONVALESCENT HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05666H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURLINGTON CONVALESCENT HOSPITAL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BURLINGTON CONVALESCENT HOSPITAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Burks
• Krystal Janell Burks
• Stephanie Burks
• Andre Burleson
• Latanya Rochon Burley, LCSW
• Vsevolod Ivanovich Burmaka
• Adam Michael Burman, PHARM D
• Johnny Lee Burnam
• Theodore Burnes, PH.D.
• Aspen Burnett

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Sep 29, 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.