Intercommunity Care Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INTERCOMMUNITY CARE CENTERS, INC.

Doing business as

Intercommunity Care Center

Practice address

2626 Grand Ave
Long Beach, CA 90815-1707

Phone

(562) 427-8915

Fax

(562) 427-2348

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Russell Boydston

Title

Administrator

Phone

(562) 427-8915

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intercommunity Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659424745. Details of each certification follow.

• CCN 555823 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555823

Legal name

INTERCOMMUNITY CARE CENTERS, INC.

Doing business as

INTERCOMMUNITY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 27, 2005

Last certification

May 8, 2025

Beds

147

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 12, 1970 in CA

Enrollment address

2626 Grand Avenue
Long Beach, CA 90815-1707

Nursing home name

INTERCOMMUNITY CARE CENTER

Listed as

Intercommunity Care CenterCCN 555823 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

Mar 27, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

147141.6 residents per day on average

Penalties (3 years)

6Fines totaling $156,035

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 7

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.

• Ronald J. Philipp, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1932120771

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659424745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 GRAND AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151707",
            "telephone_number": "562-427-8915",
            "fax_number": "562-427-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 GRAND AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151707",
            "telephone_number": "562-427-8915",
            "fax_number": "562-427-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOMMUNITY CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYDSTON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-427-8915"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18608H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intercommunity Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, 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 Aug 22, 2020; 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.