Organization Active NPI

Foothill Heights Care Center LLC

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1457719783
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 8, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 555894
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4944.4 residents per day on average
Penalties (3 years)
2Fines totaling $9,390

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
05D0963280Foothill Heights Care Center1515 N Fair Oaks Ave, Pasadena, CA 91103Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Arlene H Rosales Individual Adp of the SNF Mar 27, 2015
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Janet Mandelbaum Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2019 6.25%
Santa Ana Investment Holdings, LLC Organization, Long Beach, CA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2019 12.5%
Shahrzad Jannat Individual Operational/Managerial Control Aug 7, 2024
Adp of the SNF Aug 7, 2024
Organization, Fullerton, CA Adp of the SNF Mar 27, 2015
Shuo Steven Wang Individual Operational/Managerial Control Aug 19, 2019
Adp of the SNF Aug 19, 2019
Isaac Deutsch Individual 5% Or Greater Indirect Ownership Interest May 15, 2016 22.5%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Brenda Mandelbaum Individual 5% Or Greater Indirect Ownership Interest Dec 22, 2020 6.25%
Memphis Montag Individual Operational/Managerial ControlAdministrator May 23, 2016 100%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Ezequiel Bercovich Individual 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 Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest May 15, 2016 22.5%
Foothill Heights Care Center LLC Organization, Pasadena, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 1, 2019 100%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 1, 2020 2.08%
Adam Zenou Individual 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 Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2020 12.5%
Moises Bercovich Individual 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.

Facilities with the same owner 8

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

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

Sources for this page

Verify at the official NPI Registry.