Organization Active NPI

Sunset Park Healthcare LLC

  • Skilled Nursing Facility
  • Santa Monica, CA
National Provider Identifier
1457936403
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 11, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthcareCCN 055748
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 25, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4441.8 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain

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
05D0880949Sunset Park Healthcare2250 29TH St, Santa Monica, CA 90405Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Chonoch Gewirtz Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 5%
Adp of the SNF Mar 1, 2021
Keino a Rutherford Individual Operational/Managerial Control Sep 1, 2025
Adp of the SNF Sep 1, 2025
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA Owned by another organization or individual Indirect Ownership Interest Mar 1, 2021 4.84%
Rachel Deena Bak Individual Indirect Ownership Interest Mar 1, 2021 2.42%
Kenneth Lehmann Individual 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 Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 20.5%
5% Or Greater Indirect Ownership Interest Mar 1, 2021 2.42%
Corporate OfficerManager Mar 1, 2021 100%
Operational/Managerial Control Mar 1, 2021
Adp of the SNF Mar 1, 2021
Am Holdco, LLC Organization, North Hollywood, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2023 9.67%
Memphis Montag Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Aaron Moas Individual 5% Or Greater Direct Ownership Interest May 1, 2021 14%
Avishai Oscherowitz Individual 5% Or Greater Direct Ownership Interest May 1, 2023 5%
Menachem Gastwirth Individual 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 BodyManager 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.

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.

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

Verify at the official NPI Registry.