Organization Active NPI

Serrano Healthcare, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1659738201
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SERRANO HEALTHCARE, LLC
Practice address
5400 Fountain Ave
Los Angeles, CA 90029-1007
Phone
(323) 461-4301
Fax
(323) 461-2784
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dov E Jacobs
Title
Manager
Phone
(323) 461-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5400 Fountain Ave
Los Angeles, CA 90029-1007

Mailing address

5400 Fountain Ave
Los Angeles, CA 90029-1007
Phone (323) 461-4301

Other names 1

  • Palazzo Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160505001091 CA Part A Provider - Skilled Nursing Facility 5698074003 Practice locations: Los Angeles, CA

Skilled nursing facility certification: CCN 056456

Legal name
SERRANO HEALTHCARE LLC
Doing business as
PALAZZO POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 4, 1975
Last certification
Jun 5, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Beecan Health
Most recent change of ownership
Jan 1, 2016
Organization structure
LLCProprietary
Incorporated
Nov 23, 2015 in CA
Enrollment address
5400 Fountain Ave
Los Angeles, CA 90029-1007
Nursing home name
PALAZZO POST ACUTE
Affiliated entity
SERRANO GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palazzo Post AcuteCCN 056456
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 4, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9990.9 residents per day on average
Chain
Serrano Group11 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
05D0908508Serrano Healthcare LLC5400 Fountain Ave, Los Angeles, CA 90029Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Serrano Group LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 60%
Serrano Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Robert Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5%
JS Fenton LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.67%
Serrano Licensee 1 LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Dov E Jacobs Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Corporate OfficerManager Jan 1, 2016 100%
Jordan Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 2.5%
Bin Mendel LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
BL Cali Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Staci Leibson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 1.5%
RGF Consulting LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 3%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Yaame LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Judah Taub Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Rolando F Cuaresma Individual Operational/Managerial Control Jan 1, 2016 100%
Howard Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1659738201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291007",
            "telephone_number": "323-461-4301",
            "fax_number": "323-461-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291007",
            "telephone_number": "323-461-4301",
            "fax_number": "323-461-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRANO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-461-4301"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palazzo Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.