Organization Active NPI

Chestnut Ridge Post Acute LLC

  • Skilled Nursing Facility
  • Glendale, CA
National Provider Identifier
1649857301
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHESTNUT RIDGE POST ACUTE LLC
Practice address
525 S Central Ave
Glendale, CA 91204-2006
Phone
(818) 240-1610
Fax
(818) 845-1169
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Phillip L Chase
Title
Manager
Phone
(818) 240-1610

Specialties & licenses 1

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

Addresses

Primary practice location

525 S Central Ave
Glendale, CA 91204-2006

Mailing address

8484 Wilshire Blvd Ste 215
Beverly Hills, CA 90211-3245
Phone (818) 240-1610

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06190FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422002454 CA Part A Provider - Skilled Nursing Facility 3476940370 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649857301. Details of each certification follow.

Skilled nursing facility certification: CCN 056190

Legal name
CHESTNUT RIDGE POST ACUTE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 11, 1970
Last certification
Oct 4, 2024
Beds
106
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
525 S Central Ave
Glendale, CA 91204-2006
Nursing home name
CHESTNUT RIDGE POST ACUTE LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Chestnut Ridge Post Acute LLCCCN 056190 · All quality measures
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
May 11, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10696.4 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
3Fines totaling $93,015

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
05D0556797Chestnut Ridge Post Acute LLC525 S Central Ave, Glendale, CA 91204Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

8484 Wilshire Blvd
Ste 215
Beverly Hills, CA 90211

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Juhn Cayabyab Individual Operational/Managerial Control Feb 1, 2022
Managing Control - Governing BodyAdministrator Feb 1, 2022
Adp of the SNF Feb 1, 2022
Lorna del Rosario Individual Operational/Managerial Control Sep 24, 2021
Adp of the SNF Sep 24, 2021
Hayk V Papukhyan Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Phillip L Chase Individual Operational/Managerial Control Jan 30, 2024
Managing Control - Governing BodyManager Jan 30, 2024
Adp of the SNF Jan 30, 2024
Glendale Investment Group LLC Organization, Danville, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 1, 2022 100%
Adp of the SNF Jun 12, 1981
The Phillip Chase Irrevocable Trust Organization, Monrovia, CA For-profit 5% Or Greater Direct Ownership Interest Jan 30, 2024 100%

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1649857301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 215",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113245",
            "telephone_number": "818-240-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042006",
            "telephone_number": "818-240-1610",
            "fax_number": "818-845-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT RIDGE POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-240-1610"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06190F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.