Active NPI
Temple City Healthcare, LLC
Doing business as Temple City Healthcare
- Skilled Nursing Facility
- Temple City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TEMPLE CITY HEALTHCARE, LLC
- Doing business as
- Temple City Healthcare
- Practice address
- 5101 Tyler Ave
Temple City, CA 91780-3682 - Phone
- (626) 443-3028
- Fax
- (626) 443-1988
- NPI assigned
- Jun 29, 2012
- Last updated
- Oct 9, 2024
- 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
- Matthew S Karp
- Title
- Managing Member
- Phone
- (818) 821-3897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5101 Tyler Ave
Temple City, CA 91780-3682
Mailing address
5101 Tyler Ave
Temple City, CA 91780-3682
Phone (626) 443-3028
Other names 1
- Temple City Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130529000779 | CA | Part A Provider - Skilled Nursing Facility | 0648420166 | Practice locations: Temple City, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700140175. Details of each certification follow.
Skilled nursing facility certification: CCN 056413
- Legal name
- TEMPLE CITY HEALTHCARE, LLC
- Doing business as
- TEMPLE CITY HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 27, 1973
- Last certification
- Mar 16, 2025
- Beds
- 59
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 5101 Tyler Ave
Temple City, CA 91780-3682 - Nursing home name
- TEMPLE CITY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Temple City Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 27, 1973
- Medicare certification status
- Active
- Certified beds
- 59
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 |
|---|---|---|---|
| 05D0724040 | Temple City Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
3452 E Foothill Blvd
Ste 710
Pasadena, CA 91107
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Matthew S Karp | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 50% |
| Operational/Managerial Control | Oct 18, 2019 | ||
| Adp of the SNF | Oct 18, 2019 | ||
| John K Liu | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Joann B Figueroa | Operational/Managerial Control | Oct 18, 2019 | |
| Adp of the SNF | Oct 18, 2019 | ||
| Ronald J Mayer | Adp of the SNF | Nov 23, 2011 | |
| Benjamin M Karp | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 50% |
| Operational/Managerial Control | Jun 30, 2023 | ||
| Adp of the SNF | Oct 18, 2019 | ||
| Caravan Operations Corp | Adp of the SNF | Sep 20, 2012 | |
| Mayer 2005 Revocable Trust | Adp of the SNF | Nov 23, 2011 | |
| 5101 Tyler Avenue LLC | Adp of the SNF | Nov 23, 2011 | |
| Mayer 2012 Trust | 5% Or Greater Direct Ownership Interest | Dec 15, 2012 | 25% |
| Bastomski Living Trust Dated April 18, 1997 | Adp of the SNF | Nov 23, 2011 | |
| Helene G Mayer | Adp of the SNF | Nov 23, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Huntington Park, CA
- NPI 1194739797
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Golden Rose Care Center
- Skilled Nursing Facility
- Pasadena, CA
- NPI 1851987234
Mayer 2012 Trust
-
dba Villa Serena Healthcare Center
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1750785572
Mayer 2012 Trust
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1340928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1700140175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 TYLER AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917803682",
"telephone_number": "626-443-3028",
"fax_number": "626-443-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 TYLER AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917803682",
"telephone_number": "626-443-3028",
"fax_number": "626-443-1988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE CITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-29",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "KARP",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "818-821-3897"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Temple City Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temple City, CA
- Le Tang
- Matthew Tao, PT, DPT
- Tat Health Group LLC
- Temple City Convalescent Hospital Corporation (Temple City Convalescent Hospital)
- Temple City Dialysis Facility, Inc.
- Temple City Professional Pharmacy Inc.
- Temple City Unified School District
- Temple Garden Home #3
- Temple Garden Homes 1
- Temple Garden Homes 3
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.