Active NPI
Sunset Park Healthcare LLC
- Skilled Nursing Facility
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUNSET PARK HEALTHCARE LLC
- Practice address
- 2250 29TH St
Santa Monica, CA 90405-2008 - Phone
- (310) 450-7694
- NPI assigned
- Mar 11, 2021
- 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
- Chonoch Gewirtz
- Title
- Member
- Phone
- (310) 450-7694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2250 29TH St
Santa Monica, CA 90405-2008
Mailing address
2250 29TH St
Santa Monica, CA 90405-2008
Other names 1
- Sunset Park Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220607001127 | CA | Part A Provider - Skilled Nursing Facility | 7911301197 | Practice locations: Santa Monica, CA |
Skilled nursing facility certification: CCN 055748
- Legal name
- SUNSET PARK HEALTHCARE, LLC
- Doing business as
- SUNSET PARK HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 25, 1967
- Last certification
- May 25, 2025
- Beds
- 44
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- IEP Internation Equity Partners
- Organization structure
- LLC
- Enrollment address
- 2250 29TH St
Santa Monica, CA 90405-2008 - Nursing home name
- SUNSET PARK HEALTHCARE
- Affiliated entity
- ABRAHAM BAK & MENACHEM GASTWIRTH
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sunset Park Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 25, 1967
- Medicare certification status
- Active
- Certified beds
- 44
- Chain
- Abraham Bak & Menachem Gastwirth
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 |
|---|---|---|---|
| 05D0880949 | Sunset Park Healthcare | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Chonoch Gewirtz | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 5% |
| Adp of the SNF | Mar 1, 2021 | ||
| Keino a Rutherford | Operational/Managerial Control | Sep 1, 2025 | |
| Adp of the SNF | Sep 1, 2025 | ||
| Mgaz Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Abe and Rachel Bak Family Trust | Indirect Ownership Interest | Mar 1, 2021 | 4.84% |
| Rachel Deena Bak | Indirect Ownership Interest | Mar 1, 2021 | 2.42% |
| Kenneth Lehmann | 5% Or Greater Direct Ownership Interest | May 1, 2021 | 25.33% |
| Operational/Managerial Control | Mar 1, 2021 | ||
| Adp of the SNF | Mar 1, 2021 | ||
| Abraham Bak | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 20.5% |
| 5% Or Greater Indirect Ownership Interest | Mar 1, 2021 | 2.42% | |
| Corporate Officer | Mar 1, 2021 | 100% | |
| Operational/Managerial Control | Mar 1, 2021 | ||
| Adp of the SNF | Mar 1, 2021 | ||
| Am Holdco, LLC | 5% Or Greater Direct Ownership Interest | May 1, 2023 | 9.67% |
| Memphis Montag | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Abak Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Aaron Moas | 5% Or Greater Direct Ownership Interest | May 1, 2021 | 14% |
| Avishai Oscherowitz | 5% Or Greater Direct Ownership Interest | May 1, 2023 | 5% |
| Menachem Gastwirth | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 20.5% |
| 5% Or Greater Indirect Ownership Interest | Mar 6, 2023 | 4.84% | |
| Operational/Managerial Control | Mar 1, 2021 | ||
| Managing Control - Governing Body | Mar 6, 2020 | ||
| Adp of the SNF | Mar 1, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1497807853
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1780615724
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615420800000",
"number": "1457936403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 29TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 29TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052008",
"telephone_number": "310-450-7694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET PARK HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A",
"authorized_official_last_name": "GEWIRTZ",
"authorized_official_first_name": "CHONOCH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "310-450-7694"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunset Park Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.