Bell Villa Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000017 Issued in CA

Legal business name

BELL VILLA CARE ASSOCIATES LLC

Practice address

9028 Rose Street
Bellflower, CA 90706-6418

Phone

(562) 925-4252

Fax

(562) 925-1130

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Soon Burnam

Title

Authorized Agent Officer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose Villa Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056104

Legal name

BELL VILLA CARE ASSOCIATES LLC

Doing business as

ROSE VILLA HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1971

Last certification

Apr 24, 2025

Beds

53

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Apr 28, 2003 in NV

Enrollment address

9028 Rose Street
Bellflower, CA 90706-6418

Nursing home name

ROSE VILLA HEALTH CARE CENTER

Affiliated entity

THE ENSIGN GROUP

Listed as

Rose Villa Health Care CenterCCN 056104

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 1, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5348.5 residents per day on average

Chain

The Ensign Group342 facilities in the chain

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

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Shivanand R Pole, M.D

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1477737369

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shivanand R Pole, M.D

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1477737369
  NPD (past)

Affiliated clinicians 6

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

• Shahryar Davari, MD

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1346244373

  Nursing home

  Care Compare affiliation
• Scott A Gordon, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1033140801

  Nursing home

  Care Compare affiliation
• Linda P Hsu, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Downey, CA
  • NPI 1679682876

  Nursing home

  Care Compare affiliation
• Samer Moghaddam, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1275700478

  Nursing home

  Care Compare affiliation
• Shivanand R Pole, M.D

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1477737369

  Nursing home

  Care Compare affiliation
• Reza Sharafi, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1336199660

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1619976248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 ROSE STREET",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066418",
            "telephone_number": "562-925-4252",
            "fax_number": "562-925-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9028 ROSE STREET",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066418",
            "telephone_number": "562-925-4252",
            "fax_number": "562-925-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL VILLA CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED AGENT OFFICER",
        "authorized_official_telephone_number": "949-540-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06104K",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rose Villa Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rose Villa Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Bellflower, CA
• Providers in Bellflower, 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 Feb 17, 2021; 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.