NPIMap

Organization Active NPI

CHLB, LLC

  • Psychiatric Hospital
  • Glendora, CA
National Provider Identifier
1487249298
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
CHLB, LLC
Practice address
150 W Route 66
Glendora, CA 91740-6207
Phone
(626) 852-5015
NPI assigned
Mar 3, 2021
Organization subpart
Yes
Parent organization
CHLB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Roderick L. Bell
Title
Chief Financial Officer
Phone
(562) 997-2413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

150 W Route 66
Glendora, CA 91740-6207

Mailing address

1725 Pacific Ave
Long Beach, CA 90813-1714
Phone (562) 997-2000

Other names 1

  • Glendora Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426002628 CA Part A Provider - Hospital 2668614967 Practice locations: Glendora, CA

Hospital certification: CCN 054157

Legal name
CHLB LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 11, 2020
Last certification
Dec 20, 2022
Beds
128 (44 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jun 17, 2021 (1 total)
Organization structure
LLCProprietary
Incorporated
May 9, 2013 in CA
Enrollment address
150 W Route 66
Glendora, CA 91740-6207
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Glendora HospitalCCN 054157
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
CHLB LLC2 organizations share this tax ID, including this one
Part of
CHLB LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13300 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 679-3321

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
Harvey D Ross Individual W-2 Managing EmployeeHospital Ceo Jun 1, 2021
Cheryl C Jacobs Individual W-2 Managing EmployeeHospital Cno Jun 1, 2021
Barry J Weiss Individual Corporate OfficerLLC Member Jun 1, 2021
College Health Enterprises, LLC Organization, Santa Fe Springs, CA LLC, Management services company, For-profit Operational/Managerial Control Jun 1, 2021
Esther Weiss Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 50%
B Weiss Fam TR Organization, Santa Fe Springs, CA 5% Or Greater Direct Ownership Interest Jun 1, 2021 50%
S&E Einhorn Family Trust Organization, Santa Fe Springs, CA 5% Or Greater Direct Ownership Interest Jun 1, 2021 50%
Shmuel B Einhorn Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 50%
Corporate OfficerLLC Member Jun 1, 2021
Elkie C Weiss Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 50%

Facilities with the same owner 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1487249298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131714",
            "telephone_number": "562-997-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406207",
            "telephone_number": "626-852-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHLB, LLC",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "562-997-2413"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendora Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.