Norwalk Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORWALK POST ACUTE LLC

Doing business as

Cottage Crest Post Acute

Practice address

12350 Rosecrans Ave
Norwalk, CA 90650-5064

Phone

(562) 921-6624

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Johnson

Title

Ceo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other names 1

• Cottage Crest Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619602216. Details of each certification follow.

• CCN 055758 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055758

Legal name

NORWALK POST ACUTE LLC

Doing business as

COTTAGE CREST POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1985

Last certification

Jun 11, 2024

Beds

59

Ownership / control type

Corporation

Multi-facility organization

Sun Mar Management Healthcare

Organization structure

LLCProprietary

Incorporated

Apr 1, 2022 in CA

Enrollment address

12350 Rosecrans Ave
Norwalk, CA 90650-5064

Nursing home name

COTTAGE CREST POST ACUTE

Affiliated entity

DAVID JOHNSON

Listed as

Cottage Crest Post AcuteCCN 055758 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5954.4 residents per day on average

Chain

David Johnson48 facilities in the chain

Penalties (3 years)

3Fines totaling $66,245

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kristoffer Tolentino Chin, DO

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1790342764

  Nursing home

  Care Compare affiliation
• Andrew Imparato, M.D

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1720400971

  Nursing home

  Care Compare affiliation
• Angela Joy Lamotte, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1538166764

  Nursing home

  Care Compare affiliation
• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1619602216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505064",
            "telephone_number": "562-921-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505064",
            "telephone_number": "562-921-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Crest Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicholas Zamora Novella

• Skilled Nursing Facility in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.

Verify at the official NPI Registry.