Active NPI
Foothill Heights Care Center LLC
- Skilled Nursing Facility
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FOOTHILL HEIGHTS CARE CENTER LLC
- Practice address
- 1515 N Fair Oaks Ave
Pasadena, CA 91103-1808 - Phone
- (626) 798-1111
- Fax
- (626) 469-3430
- NPI assigned
- Feb 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ezequiel Bercovich
- Title
- Ceo
- Phone
- (213) 948-0193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1515 N Fair Oaks Ave
Pasadena, CA 91103-1808
Mailing address
1515 N Fair Oaks Ave
Pasadena, CA 91103-1808
Phone (626) 798-1111
Other names 1
- Foothill Heights Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170113002403 | CA | Part A Provider - Skilled Nursing Facility | 7315229911 | Practice locations: Pasadena, CA |
Skilled nursing facility certification: CCN 555894
- Legal name
- FOOTHILL HEIGHTS CARE CENTER LLC
- Doing business as
- FOOTHILL HEIGHTS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 29, 2015
- Last certification
- Apr 17, 2025
- Beds
- 49
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Betenu Health
- Organization structure
- LLC
- Incorporated
- Dec 17, 2015 in CA
- Enrollment address
- 1515 N Fair Oaks Ave
Pasadena, CA 91103-1808 - Nursing home name
- FOOTHILL HEIGHTS CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Foothill Heights Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 29, 2015
- Medicare certification status
- Active
- Certified beds
- 49
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0963280 | Foothill Heights Care Center | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 21
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Arlene H Rosales | Adp of the SNF | Mar 27, 2015 | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Janet Mandelbaum | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 6.25% |
| Santa Ana Investment Holdings, LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 12.5% |
| Shahrzad Jannat | Operational/Managerial Control | Aug 7, 2024 | |
| Adp of the SNF | Aug 7, 2024 | ||
| Adp of the SNF | Mar 27, 2015 | ||
| Shuo Steven Wang | Operational/Managerial Control | Aug 19, 2019 | |
| Adp of the SNF | Aug 19, 2019 | ||
| Isaac Deutsch | 5% Or Greater Indirect Ownership Interest | May 15, 2016 | 22.5% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Brenda Mandelbaum | 5% Or Greater Indirect Ownership Interest | Dec 22, 2020 | 6.25% |
| Memphis Montag | Operational/Managerial Control | May 23, 2016 | 100% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Ezequiel Bercovich | 5% Or Greater Direct Ownership Interest | Dec 20, 2021 | 24.17% |
| Operational/Managerial Control | Apr 1, 2019 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Deutsch 2016 Grat | 5% Or Greater Direct Ownership Interest | May 15, 2016 | 22.5% |
| Foothill Heights Care Center LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 100% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem | 5% Or Greater Direct Ownership Interest | Dec 1, 2020 | 2.08% |
| Adam Zenou | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 14.17% |
| Operational/Managerial Control | Apr 1, 2019 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Helene G Mayer | 5% Or Greater Indirect Ownership Interest | Dec 1, 2020 | 12.5% |
| Moises Bercovich | 5% Or Greater Direct Ownership Interest | Apr 1, 2019 | 14.17% |
| Operational/Managerial Control | Apr 1, 2019 | ||
| Adp of the SNF | Apr 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1538232137
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1831724509
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Arcadia, CA
- NPI 1053976266
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem
-
- Skilled Nursing Facility
- Temple City, CA
- NPI 1396806998
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1184871659
Deutsch 2016 Grat
-
- Skilled Nursing Facility
- Apple Valley, CA
- NPI 1366091233
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
-
- Skilled Nursing Facility
- Santa Maria, CA
- NPI 1326670910
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec, Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem, Helene Mayer 2007 Irrevocable Exempt
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1457719783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031808",
"telephone_number": "626-798-1111",
"fax_number": "626-469-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031808",
"telephone_number": "626-798-1111",
"fax_number": "626-469-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTHILL HEIGHTS CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2023-09-08",
"certification_date": "2023-09-06",
"status": "A",
"authorized_official_last_name": "BERCOVICH",
"authorized_official_first_name": "EZEQUIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-948-0193",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foothill Heights Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Foothill Heights Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasadena, CA
- Foothill Cardiology Medical Group Inc
- Foothill Family Service
- Foothill Family Service
- Foothill Family Service
- Foothill Family Service - Hudson
- Foothill Physical Therapy PC
- Foothill Pulmonary & Critical Care Consultants Medical Group Inc.
- Foothill Urology Associates
- Jon M Foran, MEDICAL DOCTOR
- Andrea Forbes, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.