NPIMap

Organization Active NPI

Sela Healthcare Inc

Doing business as holiday manor care center

  • Skilled Nursing Facility
  • Canoga Park, CA
National Provider Identifier
1710082193
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920000041 Issued in CA
Legal business name
SELA HEALTHCARE INC
Doing business as
holiday manor care center
Practice address
20554 Roscoe Blvd
Canoga Park, CA 91306-1746
Phone
(818) 341-9800
Fax
(818) 341-1925
NPI assigned
Sep 13, 2006
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ms. Jennifer Greenwell
Title
Chief Financial Officer
Phone
(909) 987-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 920000041 CA Primary

Addresses

Primary practice location

20554 Roscoe Blvd
Canoga Park, CA 91306-1746

Mailing address

16742 Orange Way
Fontana, CA 92335-3809
Phone (909) 987-7735

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18160HMedicaidCA

Other names 1

  • holiday manor 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
O20040303000220 CA Part A Provider - Skilled Nursing Facility 9638082092 Practice locations: Canoga Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710082193. Details of each certification follow.

Skilled nursing facility certification: CCN 555578

Legal name
SELA HEALTHCARE INC
Doing business as
HOLIDAY MANOR CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 14, 1993
Last certification
Mar 13, 2025
Beds
94
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Enrollment address
20554 Roscoe Blvd
Canoga Park, CA 91306-1746
Nursing home name
HOLIDAY MANOR CARE CENTER

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holiday Manor Care CenterCCN 555578 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9489.2 residents per day on average
Penalties (3 years)
2Fines totaling $18,363

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Holiday Manor Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Hadassah E Weiss Individual 5% Or Greater Direct Ownership Interest Mar 3, 2023 20%
Corporate DirectorDirector Mar 3, 2023
Gabriela Martinez Individual Corporate OfficerAdministrator Dec 1, 2024
Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Reyadh Michail Individual Operational/Managerial Control Oct 28, 2009
Adp of the SNF Oct 28, 2009
Renew Health Consulting Services LLC Organization, Monrovia, CA LLC, Management services company, For-profit Operational/Managerial Control Mar 3, 2023
Adp of the SNF Mar 3, 2023
Martin J Weiss Individual 5% Or Greater Direct Ownership Interest20 Mar 3, 2023
Corporate OfficerPresident Mar 3, 2023
Corporate DirectorDirector Mar 3, 2023
Hieldeen H Huerta Individual Operational/Managerial Control Nov 4, 2024
Adp of the SNF Nov 4, 2024
Philip Weinberger Individual 5% Or Greater Direct Ownership Interest Mar 3, 2023 30%
Corporate OfficerChief Executive Officer Mar 3, 2023
Corporate DirectorDirector Mar 3, 2023
Organization, North Hollywood, CA LLC, For-profit Adp of the SNF Sep 2, 2025
Marylynn Mahan Individual 5% Or Greater Direct Ownership Interest Mar 3, 2023 30%
Corporate OfficerSecretary and Treasurer Mar 3, 2023
Corporate DirectorDirector Mar 3, 2023
Roscoe Real Estate Holdings LLC Organization, Monrovia, CA LLC Adp of the SNF Aug 1, 2018
P & M Management Inc Organization, Fontana, CA For-profit Operational/Managerial Control Mar 1, 2004
Vatsala Sharma Individual Operational/Managerial Control Mar 3, 2023
Adp of the SNF Mar 3, 2023
Gateways Rehabilitation Center II LLC Organization, Simi Valley, CA LLC, For-profit Adp of the SNF Mar 3, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

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

View all 13

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1710082193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16742 ORANGE WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353809",
            "telephone_number": "909-987-7735",
            "fax_number": "909-484-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913061746",
            "telephone_number": "818-341-9800",
            "fax_number": "818-341-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-987-7735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18160H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "holiday manor care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.