Organization Active NPI

Canoga Healthcare LLC

  • Skilled Nursing Facility
  • Canoga Park, CA
National Provider Identifier
1487734935
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000009 Issued in CA
Legal business name
CANOGA HEALTHCARE LLC
Practice address
7940 Topanga Canyon Blvd
Canoga Park, CA 91304-4732
Phone
(818) 347-3800
Fax
(818) 347-9576
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Ira David Friedman
Title
Manager
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 920000009 CA Primary

Addresses

Primary practice location

7940 Topanga Canyon Blvd
Canoga Park, CA 91304-4732

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 1

IdentifierTypeStateIssuer
1487734935MedicaidCA

Other names 1

  • West Hills Health and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204001203 CA Part A Provider - Skilled Nursing Facility 3779488457 Practice locations: Canoga Park, CA

Skilled nursing facility certification: CCN 056133

Legal name
CANOGA HEALTHCARE LLC
Doing business as
WEST HILLS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1974
Last certification
Aug 8, 2024
Beds
145
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Longwood Management Corporation
Organization structure
LLCProprietary
Incorporated
Jul 18, 2003 in CA
Enrollment address
7940 Topanga Canyon Blvd
Canoga Park, CA 91304-4732
Nursing home name
WEST HILLS HEALTH AND REHABILITATION CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Hills Health and Rehabilitation CenterCCN 056133
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
145138.2 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
5Fines totaling $39,511

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
05D0867063West Hills Health & Rehabilitation Center7940 Topanga Canyon Blvd, Canoga Park, CA 91304Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

7940 Topanga Canyon Blvd
West Hills, CA 91304
Phone (818) 347-3800

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Gemma Bellantuoni Individual W-2 Managing EmployeeAdministrator Jun 6, 2022
Lehmann Family 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit Other Jun 30, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 18%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Zaid Pervaiz Individual Other Jan 7, 2022

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1487734935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "818-347-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 TOPANGA CANYON BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044732",
            "telephone_number": "818-347-3800",
            "fax_number": "818-347-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOGA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487734935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hills Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Hills Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.