Active NPI
Verdugo Vista Operating Company, LP
- Skilled Nursing Facility
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 920000078
- Legal business name
- VERDUGO VISTA OPERATING COMPANY, LP
- Practice address
- 3050 Montrose Ave
La Crescenta, CA 91214-3619 - Phone
- (818) 957-0850
- Fax
- (818) 249-2386
- NPI assigned
- Jul 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andrea Saavedra
- Title
- Regional Financial Analyst
- Phone
- (707) 208-1940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 920000078 | CA | Primary |
Addresses
Primary practice location
3050 Montrose Ave
La Crescenta, CA 91214-3619
Mailing address
3050 Montrose Ave
La Crescenta, CA 91214-3619
Phone (818) 957-0850
Other names 1
- Verdugo Vista Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111031000687 | CA | Part A Provider - Skilled Nursing Facility | 5597938993 | Practice locations: La Crescenta, CA |
Skilled nursing facility certification: CCN 055960
- Legal name
- VERDUGO VISTA OPERATING COMPANY LP
- Doing business as
- LA CRESCENTA HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1978
- Last certification
- Apr 25, 2025
- Beds
- 92
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Enrollment address
- 3050 Montrose Ave
La Crescenta, CA 91214-3619 - Nursing home name
- LA CRESCENTA HEALTHCARE CENTER
- Affiliated entity
- MARINER HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- La Crescenta Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Oct 1, 1978
- Medicare certification status
- Active
- Certified beds
- 92
- Chain
- Mariner Health Care
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0914045 | La Crescenta Healthcare Center | Certificate of waiver | Apr 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
3050 Montrose Ave
La Crescenta, CA 91214
Phone (818) 236-3400
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Verdugo Vista Operating Company GP LLC | General Partnership Interest | Aug 27, 2014 | 1% |
| Grancare LLC | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| Saro Avakian | Operational/Managerial Control | Dec 1, 2017 | |
| Adp of the SNF | Dec 1, 2017 | ||
| MHC West Holding Company | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| National Senior Care, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| Alex C Dela Cuadra | Operational/Managerial Control | May 16, 2024 | |
| Managing Control - Governing Body | May 16, 2024 | ||
| Adp of the SNF | May 16, 2024 | ||
| MHC Holding Company | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| Mariner Health Care, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 17, 2010 | 100% |
| GC Operating Company LLC | 5% Or Greater Direct Ownership Interest | Dec 6, 2011 | 99% |
| Limited Partnership Interest | Dec 6, 2011 | 99% | |
| Emily Grunstein | 5% Or Greater Indirect Ownership Interest | Feb 6, 2019 | 100% |
| Dennis Sarcauga | Corporate Officer | Feb 6, 2025 | |
| Operational/Managerial Control | Feb 6, 2025 | ||
| Managing Control - Governing Body | Feb 6, 2025 | ||
| Adp of the SNF | Feb 6, 2025 | ||
| Capital Funding LLC | 5% Or Greater Security Interest | Jun 1, 2015 | |
| Jenny M Rimando | Operational/Managerial Control | Oct 29, 2020 | |
| Managing Control - Governing Body | Oct 29, 2020 | ||
| Adp of the SNF | Oct 29, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1073651550
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- San Jose, CA
- NPI 1548558521
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1245528926
GC Operating Company LLC, Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- San Pablo, CA
- NPI 1306269386
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Hayward, CA
- NPI 1871881557
GC Operating Company LLC, Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Santa Cruz, CA
- NPI 1457649436
GC Operating Company LLC, Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Fremont, CA
- NPI 1194120600
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1144856535
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Hayward, CA
- NPI 1801868302
GC Operating Company LLC, Grancare LLC, MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Inglewood, CA
- NPI 1013989656
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Palm Desert, CA
- NPI 1326336009
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- Palm Springs, CA
- NPI 1861896805
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
-
- Skilled Nursing Facility
- San Marcos, CA
- NPI 1114392511
Grancare LLC, Mariner Health Care, Inc., MHC Holding Company, MHC West Holding Company, National Senior Care, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 12
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": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1699063370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 MONTROSE AVE",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143619",
"telephone_number": "818-957-0850",
"fax_number": "818-249-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MONTROSE AVE",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143619",
"telephone_number": "818-957-0850",
"fax_number": "818-249-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDUGO VISTA OPERATING COMPANY, LP",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-15",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "SAAVEDRA",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
"authorized_official_telephone_number": "707-208-1940",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "920000078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Verdugo Vista Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.