Ag Laguna Hills, LLC
Organization Active NPI Skilled Nursing Facility · Laguna Hills, CA
NPI 1720072374 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1720072374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 060000084 (CA)
- Legal business name
- AG LAGUNA HILLS, LLC
- Practice address
- 24452 Health Center Drive
Laguna Hills, CA 92653 - Phone
- (949) 837-8000
- Fax
- (949) 837-5187
- NPI assigned
- Sep 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jacob Wintner
- Title
- Manager
- Phone
- (323) 651-1808
Owners & managing parties with NPI records 1
-
Shahab Zahed, MD
Facilities with the same owner 31
Affiliated clinicians 5
-
Derrick Makoto Hong, M.D
-
Homer Kam Yun Lew, D.O.
-
Ali Tabatabai, M.D.
-
Shahab Zahed, MD
Medicare Care Compare: Nursing home
- Listed as
- Laguna Hills Health and Rehabilitation Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 31, 1971
- Certified beds
- 208 · 190.4 residents per day on average
- Chain
- Cambridge Healthcare Services
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0689535 | Laguna Hills Health & Rehabilitation Center | Certificate of waiver | Mar 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 056110
- Legal name
- AG LAGUNA HILLS LLC
- Doing business as
- LAGUNA HILLS HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 31, 1971
- Last certification
- Aug 19, 2024
- Beds
- 208
- Ownership / control type
- Corporation
- Multi-facility organization
- Cambridge Healthcare Services
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 11, 2003 in CA
- Enrollment address
- 24452 Health Center Dr
Laguna Hills, CA 92653-3604 - Nursing home name
- LAGUNA HILLS HEALTH AND REHABILITATION CENTER
- Affiliated entity
- CAMBRIDGE HEALTHCARE SERVICES
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| BH Alliance |
5% Or Greater Indirect Ownership Interest | Aug 11, 2003 | 5% |
| Linda Lutz |
Operational/Managerial Control | Feb 1, 2012 | |
| Adp of the SNF | Feb 1, 2012 | ||
| 24452 Health Center, LLC |
Adp of the SNF | Aug 9, 2004 | |
| Ira E Smedra Living Trust |
5% Or Greater Indirect Ownership Interest | Aug 11, 2003 | 47.5% |
| Win Win Enterprises, LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2003 | 47.5% |
| Adp of the SNF | Oct 1, 2003 | ||
| Lance a Hassell |
Operational/Managerial Control | Apr 25, 2022 | |
| Adp of the SNF | Apr 25, 2022 | ||
| Cambridge Healthcare Services LLC |
Operational/Managerial Control | Oct 1, 2013 | |
| Adp of the SNF | Jul 16, 2025 | ||
| Jocelyn Abuy |
Operational/Managerial Control | Jan 2, 2025 | |
| Kyle Dalton |
Operational/Managerial Control | Dec 16, 2024 | |
| Managing Control - Governing Body |
Dec 16, 2024 | ||
| Adp of the SNF | Jul 16, 2025 | ||
| Ira Smedra |
5% Or Greater Indirect Ownership Interest |
Aug 11, 2003 | 47.5% |
| Corporate Officer |
Aug 11, 2003 | 50% | |
| Operational/Managerial Control |
Aug 11, 2003 | ||
| Adp of the SNF | Aug 11, 2003 | ||
| Ag Facilities Operations, LLC |
5% Or Greater Direct Ownership Interest | Aug 11, 2003 | 100% |
| Jacob Wintner |
Corporate Officer |
Aug 11, 2003 | 50% |
| Operational/Managerial Control |
Aug 11, 2003 | ||
| Jacob Wintner |
Adp of the SNF | Aug 11, 2003 | |
| Paulina Salazar |
Operational/Managerial Control | Dec 14, 2020 | |
| Adp of the SNF | Dec 14, 2020 | ||
| Julie Butenko |
Operational/Managerial Control | Jul 24, 2023 | |
| Adp of the SNF | Jul 24, 2023 | ||
| Kristina Kuizon |
Operational/Managerial Control | Apr 1, 2025 | |
| Managing Control - Governing Body |
Apr 1, 2025 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Heidi Capela |
Operational/Managerial Control | Apr 3, 2023 | |
| Adp of the SNF | Apr 3, 2023 | ||
| Shahab Zahed |
Operational/Managerial Control | Oct 1, 2013 | |
| Adp of the SNF | Oct 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031023000044 | CA | Part a Provider - Skilled Nursing Facility | 7618889387 | Practice locations: Laguna Hills, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060000084 | CA | Yes |
Addresses
Primary practice location
24452 Health Center Drive
Laguna Hills, CA 92653
Mailing address
24452 Health Center Drive
Laguna Hills, CA 92653
Phone (949) 837-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06110I | Medicaid | CA |
Other names
- Laguna Hills Health & Rehabilitation Center
Other providers in Laguna Hills, CA
- Advanced Medical Care Partners Inc
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- Afsaneh Haftbaradaran Mohammadi MD Inc
- Yama Ahmad Afshar
- Renee Aguilar
- Kevin Aguinaldo
- Sylvia Aguirre
- Eva Sultana Ahmad
- Lida Ahmadi-Kashani
All providers in Laguna Hills, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.