Organization Active NPI

5648 East Gotham Street LLC

Doing business as Briarcrest Nursing Center

  • Skilled Nursing Facility
  • Bell Gardens, CA
National Provider Identifier
1548255284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
5648 EAST GOTHAM STREET LLC
Doing business as
Briarcrest Nursing Center
Practice address
5648 Gotham St
Bell Gardens, CA 90201-5413
Phone
(562) 927-2641
Fax
(562) 927-4639
NPI assigned
Sep 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Caroline L Boyer
Title
Director of Patient Accounting
Phone
(818) 367-9546

Specialties & licenses 1

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

Addresses

Primary practice location

5648 Gotham St
Bell Gardens, CA 90201-5413

Mailing address

5648 Gotham St
Bell Gardens, CA 90201-5413
Phone (562) 927-2641

Other identifiers 2

IdentifierTypeStateIssuer
LTC70168FMedicaidCA
ZZT06220HMedicaidCA

Other names 1

  • BRIARCREST NURSING CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031014000026 CA Part A Provider - Skilled Nursing Facility 9931011889 Practice locations: Bell Gardens, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548255284. Details of each certification follow.

Skilled nursing facility certification: CCN 056220

Legal name
5648 EAST GOTHAM STREET LLC
Doing business as
BRIARCREST NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 4, 1970
Last certification
Mar 13, 2025
Beds
135
Ownership / control type
Partnership
Organization structure
LLCProprietary
Incorporated
Dec 10, 2002 in CA
Enrollment address
5648 Gotham St
Bell Gardens, CA 90201-5413
Nursing home name
BRIARCREST NURSING CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Briarcrest Nursing CenterCCN 056220 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Sep 4, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135124.2 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain
Penalties (3 years)
4Fines totaling $78,684

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
05D0898498Briarcrest Nursing Center5648 East Gotham Street, Bell Gardens, CA 90201Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

5648 Gotham St
Bell Gardens, CA 90201
Phone (562) 927-2641

Ownership & related parties

All disclosed owners & managing parties 32

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

NameRoleSinceShare
Ira E Smedra Living Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 10, 2002 22.22%
BH Alliance Organization, Los Angeles, CA Created for acquisition, Owned by another organization or individual Direct Ownership Interest Dec 10, 2002 0.25%
Manhattan Five Partners LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual Direct Ownership Interest Dec 10, 2002 0.62%
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Daniel Wintner Individual Direct Ownership Interest Dec 10, 2002 0.31%
Individual Direct Ownership Interest Mar 4, 2024 2.48%
Win Win Enterprises, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 10, 2002 40.26%
Individual Direct Ownership Interest Mar 4, 2024 1.99%
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Organization, Los Angeles, CA Owned by another organization or individual Direct Ownership Interest Mar 4, 2024 0.25%
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Chain home office Operational/Managerial Control Jun 11, 2018
Adp of the SNF Jun 20, 2025
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestAuthorized Official/Managing Member Dec 10, 2002 22.22%
Corporate OfficerAuthorized Official/Managing Member Dec 10, 2002 22.22%
Operational/Managerial Control Dec 10, 2002
Adp of the SNF Dec 10, 2002
Cesar Demate Palana Individual Operational/Managerial Control Jun 2, 2025
Adp of the SNF Jun 2, 2025
Individual Direct Ownership Interest Mar 4, 2024 1.99%
Shersher LP Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Dec 10, 2002 23.39%
Liberty Pineda Bueno Individual Operational/Managerial Control Jun 4, 2025
Jacob Wintner Individual Corporate OfficerAuthorized Official/Managing Member Dec 10, 2002 0.56%
Operational/Managerial Control Dec 10, 2002
Adp of the SNF Dec 10, 2002
Individual Direct Ownership Interest Mar 4, 2024 1.86%
Jacob Wintner Individual Adp of the SNF Dec 10, 2002
Indirect Ownership Interest Dec 10, 2002 0.56%
June Johnsonbaugh Individual Operational/Managerial Control Apr 23, 2024
Adp of the SNF Apr 23, 2024
Individual Direct Ownership Interest Mar 4, 2024 0.31%
Professional Directions for Health Care Organization, West Hills, CA Operational/Managerial Control May 23, 2013
Adp of the SNF Aug 14, 2025
Joel C Guron Individual Operational/Managerial Control Aug 30, 2024
Managing Control - Governing BodyAdministrator Aug 30, 2024
Adp of the SNF Aug 30, 2024
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
Mark Lazar Individual Direct Ownership Interest Dec 10, 2002 0.25%
Organization, Los Angeles, CA Owned by another organization or individual Direct Ownership Interest Dec 10, 2002 1.11%
Kristina Kuizon Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyRegional Director of Operations Apr 1, 2025
Adp of the SNF Apr 1, 2025
Leo Krieger Individual Direct Ownership Interest Dec 10, 2002 0.25%
Sirius Billing Organization, Los Angeles, CA LLC Adp of the SNF Apr 1, 2024
Mission Investments, Inc. Organization, Simi Valley, CA Corporation, Owned by another organization or individual Direct Ownership Interest Mar 4, 2024 2.48%
Heidi Capela Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Apr 3, 2023

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 31

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

View all 31

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548255284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 GOTHAM ST",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015413",
            "telephone_number": "562-927-2641",
            "fax_number": "562-927-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 GOTHAM ST",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015413",
            "telephone_number": "562-927-2641",
            "fax_number": "562-927-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5648 EAST GOTHAM STREET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
        "authorized_official_telephone_number": "818-367-9546"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70168F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06220H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIARCREST NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.