NPIMap

Organization Active NPI

Woodland Care Center, LLC

Doing business as Woodland Care Center

  • Skilled Nursing Facility
  • Reseda, CA
National Provider Identifier
1427049816
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000024 Issued in CA
Legal business name
WOODLAND CARE CENTER, LLC
Doing business as
Woodland Care Center
Practice address
7120 Corbin Ave.
Reseda, CA 91335-3618
Phone
(818) 881-4540
Fax
(818) 881-0039
NPI assigned
Nov 3, 2005
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 920000024 CA Primary

Addresses

Primary practice location

7120 Corbin Ave.
Reseda, CA 91335-3618

Mailing address

7120 Corbin Ave.
Reseda, CA 91335-3618
Phone (818) 881-4540

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06066IMedicaidCA

Other names 1

  • Woodland 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
O20030819000052 CA Part A Provider - Skilled Nursing Facility 1759292261 Practice locations: Reseda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427049816. Details of each certification follow.

Skilled nursing facility certification: CCN 056066

Legal name
WOODLAND CARE CENTER LLC
Doing business as
WOODLAND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1980
Last certification
Apr 11, 2025
Beds
157
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 3, 2003 in DE
Enrollment address
7120 Corbin Ave
Reseda, CA 91335-3618
Nursing home name
WOODLAND CARE CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodland Care CenterCCN 056066 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
157144.9 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
4Fines totaling $30,972

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
05D0877065Woodland Care Center7120 Corbin Avenue, Reseda, CA 91335Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
Bold Quail Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 100%
Pico Ar LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
BQ Operations Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 100%
Newgen LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 100%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership InterestVice President Feb 1, 2021 50%
Pamela Shaw Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Aaron H Robin Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2021 50%
7120 Corbin Avenue Property LLC Organization, Los Angeles, CA LLC Adp of the SNF Apr 29, 2026

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1427049816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CORBIN AVE.",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353618",
            "telephone_number": "818-881-4540",
            "fax_number": "818-881-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 CORBIN AVE.",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353618",
            "telephone_number": "818-881-4540",
            "fax_number": "818-881-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06066I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.