Green Acres Lodge LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

950000052 Issued in CA

Legal business name

GREEN ACRES LODGE LLC

Doing business as

Green Acres Healthcare Center

Practice address

8101 Hill Dr
Rosemead, CA 91770-4128

Phone

(626) 280-2293

Fax

(626) 280-5685

NPI assigned

Oct 17, 2006

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira David Friedman

Title

Manager

Phone

(213) 389-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Acres Healthcare 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 1669552022. Details of each certification follow.

• CCN 555755 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555755

Legal name

GREEN ACRES LODGE LLC

Doing business as

GREEN ACRES HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 14, 2000

Last certification

Feb 7, 2025

Beds

85

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

8101 Hill Dr
Rosemead, CA 91770-4169

Nursing home name

GREEN ACRES HEALTHCARE CENTER

Affiliated entity

LONGWOOD MANAGEMENT CORPORATION

Listed as

Green Acres Healthcare CenterCCN 555755 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 14, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8579.4 residents per day on average

Chain

Longwood Management Corporation38 facilities in the chain

Penalties (3 years)

2Fines totaling $57,016

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 37

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.

• Jun Xu, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1497010391

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 15

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

• Alden Enterprises LLC

  dba Alden Terrace Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1568544781

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Broadway Manor Care Center LLC

  dba Broadway Manor Care Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1053480418

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, JRB Investments LLC, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Burlington Convalescent Hospital LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1407934946

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust

  CMS ownership
• Casa Bonita Convalescent Hospital LLC

  dba Casa Bonita Convalescent Hospital

  • Skilled Nursing Facility
  • San Dimas, CA
  • NPI 1730269234

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, JRB Investments LLC, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Icc Convalescent LLC

  dba Imperial Care Center

  • Skilled Nursing Facility
  • Studio City, CA
  • NPI 1265502405

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Longwood Enterprises LLC

  dba Longwood Manor Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1235213810

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Magnolia Gardens Convalescent Hospital LLC

  dba Magnolia Gardens Convalescent Hospital

  • Skilled Nursing Facility
  • Granada Hills, CA
  • NPI 1588750202

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Normandie Wilshire Retirement Hotel LLC

  dba California Healthcare & Rehabilitation Center

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1932286671

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Northridge Care Center LLC

  dba Northridge Care Center

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1093890253

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, JRB Investments LLC, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• San Gabriel Convalescent Center LLC

  dba San Gabriel Convalescent Center

  • Skilled Nursing Facility
  • Rosemead, CA
  • NPI 1215011556

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, JRB Investments LLC, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Shea Healthcare Center LLC

  dba Whittier Pacific Care Center

  • Skilled Nursing Facility
  • Whittier, CA
  • NPI 1679657993

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, JRB Investments LLC, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership
• Studio City Convalescent Hospital LLC

  dba Studio City Rehabilitation Center

  • Skilled Nursing Facility
  • Studio City, CA
  • NPI 1821160839

  Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust

  CMS ownership

Affiliated clinicians 1

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

• Paul T Liu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Marino, CA
  • NPI 1730195686

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1669552022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "626-280-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HILL DR",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704128",
            "telephone_number": "626-280-2293",
            "fax_number": "626-280-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18146K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Marvin Gonzalez Sanchez
• Stephanie M Gonzalez
• Christopher Gooch, DPT
• Goodfaith Family Medical Clinic
• Goodfaith Family Medical Group
• Green Cross Medical Surgical Inc
• Greenlife Wellness
• Tracy Greer, LVN
• Shannon Griffin
• Liana Grigorian, SLPA

• Skilled Nursing Facility in Rosemead, CA
• Providers in Rosemead, 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 Sep 29, 2023; 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.