Organization Active NPI

Royal Gardens Healthcare, LLC

  • Skilled Nursing Facility
  • Alhambra, CA
National Provider Identifier
1710344361
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL GARDENS HEALTHCARE, LLC
Practice address
2339 W Valley Blvd
Alhambra, CA 91803-1931
Phone
(626) 289-7809
Fax
(626) 289-6475
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dov E Jacobs
Title
Manager
Phone
(626) 289-7809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2339 W Valley Blvd
Alhambra, CA 91803-1931

Mailing address

2339 W Valley Blvd
Alhambra, CA 91803-1931
Phone (626) 289-7809

Other names 1

  • Royal Gardens Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503000529 CA Part A Provider - Skilled Nursing Facility 9133428774 Practice locations: Alhambra, CA

Skilled nursing facility certification: CCN 055818

Legal name
ROYAL GARDENS HEALTHCARE LLC
Doing business as
ROYAL GARDENS HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 3, 1968
Last certification
Dec 5, 2024
Beds
43
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Dec 28, 2015 in CA
Enrollment address
2339 W Valley Blvd
Alhambra, CA 91803-1931
Nursing home name
ROYAL GARDENS HEALTHCARE
Affiliated entity
SERRANO GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Gardens HealthcareCCN 055818
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Apr 3, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4338.8 residents per day on average
Chain
Serrano Group11 facilities in the chain

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
05D0565463Royal Gardens Healthcare LLC2339 W Valley Blvd, Alhambra, CA 91803Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Serrano Group LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 60%
Serrano Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Robert Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 5%
JS Fenton LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 6.67%
Armando C Yu Individual Operational/Managerial Control Jan 1, 2016 100%
Dov E Jacobs Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Corporate OfficerManager Jan 1, 2016 100%
Jordan Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 2.5%
Bin Mendel LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
BL Cali Partners LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Gardens Licensee 4 LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jan 1, 2016 100%
Staci Leibson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 1.5%
RGF Consulting LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 3%
Benjamin Landa Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Yaame LLC Organization, Los Angeles, CA Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2016 40%
Judah Taub Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%
Howard Fensterman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 17.67%

Facilities with the same owner 5

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

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": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1710344361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031931",
            "telephone_number": "626-289-7809",
            "fax_number": "626-289-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031931",
            "telephone_number": "626-289-7809",
            "fax_number": "626-289-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL GARDENS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-289-7809"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Gardens Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.