Organization Active NPI

Shea Healthcare Center LLC

  • Skilled Nursing Facility
  • Whittier, CA
National Provider Identifier
1679657993
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000149 Issued in CA
Legal business name
SHEA HEALTHCARE CENTER LLC
Practice address
7716 Pickering Ave
Whittier, CA 90602-2001
Phone
(562) 693-5240
Fax
(562) 696-2192
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000149 CA Primary

Addresses

Primary practice location

7716 Pickering Ave
Whittier, CA 90602-2001

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 2

IdentifierTypeStateIssuer
ZZT05764HMedicaidCA
LTC70113GMedicaidCA

Other names 1

  • Whittier Pacific Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000322 CA Part A Provider - Skilled Nursing Facility 9436291788 Practice locations: Whittier, CA

Skilled nursing facility certification: CCN 055764

Legal name
SHEA HEALTHCARE CENTER LLC
Doing business as
WHITTIER PACIFIC CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1967
Last certification
Jan 31, 2025
Beds
105
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Dec 4, 2000 in CA
Enrollment address
7716 Pickering Ave
Whittier, CA 90602-2001
Nursing home name
WHITTIER PACIFIC CARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Whittier Pacific Care CenterCCN 055764
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10598.3 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
1Fines totaling $0

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
05D0551477Whittier Pacific Care Center7716 S Pickering Ave, Whittier, CA 90602Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Ira David Friedman Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Aaron Friedman Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Libby Friedman Lehmann Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Operational/Managerial Control Jan 1, 1995
Ruchel Friedman Klavan Group a Business Assets Trust Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Mary Anne Dejesus Individual Operational/Managerial Control Feb 14, 2022
JRB Investments LLC Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Dec 4, 2000 100%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Jun 30, 2023 20%
Corporate DirectorDirector Jun 30, 2023 20%
Zaid Pervaiz Individual Operational/Managerial Control Jan 7, 2022

Facilities with the same owner 16

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

View all 16

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1679657993",
    "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": "562-698-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 PICKERING AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022001",
            "telephone_number": "562-693-5240",
            "fax_number": "562-696-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "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": "940000149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05764H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70113G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Pacific Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.