Organization Active NPI

Ag Arcadia, LLC

Doing business as Huntington Drive Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Arcadia, CA
National Provider Identifier
1649264292
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000057 Issued in CA
Legal business name
AG ARCADIA, LLC
Doing business as
Huntington Drive Health & Rehabilitation Center
Practice address
400 West Huntington Drive
Arcadia, CA 91007
Phone
(626) 445-2421
Fax
(626) 821-5916
NPI assigned
Sep 8, 2005
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Mr. Jacob Wintner
Title
Manager
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000057 CA Primary

Addresses

Primary practice location

400 West Huntington Drive
Arcadia, CA 91007

Mailing address

400 West Huntington Drive
Arcadia, CA 91007
Phone (626) 445-2421

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05376JMedicaidCA

Other names 1

  • Huntington Drive Health & 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
O20031023000038 CA Part A Provider - Skilled Nursing Facility 1355253022 Practice locations: Arcadia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649264292. Details of each certification follow.

Skilled nursing facility certification: CCN 055376

Legal name
AG ARCADIA, LLC
Doing business as
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1973
Last certification
Jan 17, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
AG Facilities Operations, LLC
Organization structure
LLCProprietary
Incorporated
Aug 11, 2003 in CA
Enrollment address
400 W Huntington Dr
Arcadia, CA 91007-3470
Nursing home name
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Huntington Drive Health and Rehabilitation CenterCCN 055376 · 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 - Limited Liability company
Certified
Jan 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.6 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain

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
05D0642689Huntington Drive Health and Rehabilitation Center400 West Huntington Drive, Arcadia, CA 91007Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
BH Alliance Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 5%
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Ira E Smedra Living Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 47.5%
Win Win Enterprises, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 47.5%
Adp of the SNF Aug 31, 2020
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Chain home office Operational/Managerial Control Oct 1, 2013
Adp of the SNF Jul 14, 2025
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestAuthorized Official/Managing Member Aug 11, 2003 47.5%
Corporate OfficerAuthorized Official/Managing Member Aug 11, 2003 50%
Operational/Managerial ControlManager Aug 11, 2003
Adp of the SNF Aug 11, 2003
Ag Facilities Operations, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 11, 2003 100%
Amanda Moore Individual Operational/Managerial Control May 8, 2023
Managing Control - Governing BodyRegional Director of Operations May 8, 2023
Adp of the SNF May 8, 2023
Jacob Wintner Individual Corporate OfficerAuthorized Official/Managing Member Oct 1, 2003 50%
Operational/Managerial Control Oct 1, 2013
Adp of the SNF Oct 1, 2003
Jacob Wintner Individual Adp of the SNF Oct 1, 2003
Raymund Villaluz Individual Operational/Managerial Control Sep 1, 2022
Managing Control - Governing BodyAdministrator Sep 1, 2022
Adp of the SNF Sep 1, 2022
Kristine Bernal Baello Individual Operational/Managerial Control Dec 18, 2023
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
400 W. Huntington LLC Organization, Los Angeles, CA LLC Adp of the SNF Aug 31, 2020
Levon H Gazarian Individual Operational/Managerial Control Sep 9, 2013
Adp of the SNF Sep 9, 2013
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 4

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": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1649264292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST HUNTINGTON DRIVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-445-2421",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST HUNTINGTON DRIVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-445-2421",
            "fax_number": "626-821-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG ARCADIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05376J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Drive Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.