The Earlwood, LLC
Organization Active NPI Skilled Nursing Facility · Torrance, CA
NPI 1720153620 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1720153620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 910000041 (CA)
- Legal business name
- THE EARLWOOD, LLC
- Practice address
- 20820 Earl St
Torrance, CA 90503-4307 - Phone
- (310) 371-1228
- Fax
- (310) 793-0448
- NPI assigned
- Nov 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMIT CARE LLC
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Owners & managing parties with NPI records 1
-
Sohail Davoudian, M.D.
Facilities with the same owner 158
Practitioners 1
Affiliated clinicians 2
-
Sohail Davoudian, M.D.
-
Azhar Muttalib, M.D.
Medicare Care Compare: Nursing home
- Listed as
- The Earlwood
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 87 · 75.9 residents per day on average
- Chain
- Genesis Healthcare
- Penalties (3 years)
- 1 · fines totaling $17,882
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0885000 | Earlwood, the | Certificate of waiver | Apr 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 055032
- Legal name
- THE EARLWOOD, LLC
- Doing business as
- THE EARLWOOD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 15, 2024
- Beds
- 87
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Newgen
- Organization structure
- LLC · Proprietary
- Enrollment address
- 20820 Earl St
Torrance, CA 90503-4307 - Nursing home name
- THE EARLWOOD
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 32
| Name | Role | Since | Share |
|---|---|---|---|
| 9560 Pico LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2021 | 50% |
| Adp of the SNF | Aug 1, 2020 | ||
| HCCF Management Group XI LLC |
Adp of the SNF | Feb 1, 2020 | |
| Gen Operations I LLC |
Adp of the SNF | Feb 1, 2020 | |
| Bold Quail Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2021 | 100% |
| Adp of the SNF | Feb 1, 2020 | ||
| BQ Master Tenant LLC |
Adp of the SNF | Aug 14, 2025 | |
| Powerback Rehabilitation LLC |
Adp of the SNF | Feb 1, 2020 | |
| Pico Ar LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2021 | 50% |
| Adp of the SNF | Feb 1, 2020 | ||
| BQ Realty Holdings LLC |
Adp of the SNF | Feb 1, 2020 | |
| Monniece Boatwright-Williams |
Operational/Managerial Control | Mar 16, 2025 | |
| Adp of the SNF | Mar 16, 2025 | ||
| Gen Operations II LLC |
Adp of the SNF | Feb 1, 2020 | |
| BQ Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2021 | 100% |
| FC-Gen Operations Investment LLC |
Adp of the SNF | Feb 1, 2020 | |
| Newgen LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2021 | 100% |
| Adp of the SNF | Feb 1, 2020 | ||
| Newgen Administrative Services, LLC |
Adp of the SNF | Feb 1, 2020 | |
| GHC JV Holdings LLC |
Adp of the SNF | Feb 1, 2020 | |
| Alicia Hayes |
Operational/Managerial Control | Sep 23, 2024 | |
| Adp of the SNF | Sep 23, 2024 | ||
| Sundance Rehabilitation Holdco Inc |
Indirect Ownership Interest | Feb 1, 2020 | 2.6% |
| Avrohom L Tress |
5% Or Greater Indirect Ownership Interest |
Feb 1, 2021 | 50% |
| Managing Control - Governing Body |
Nov 3, 2025 | ||
| Adp of the SNF | Feb 1, 2020 | ||
| Pamela Shaw |
Operational/Managerial Control | Feb 1, 2020 | |
| Adp of the SNF | Feb 1, 2020 | ||
| Genesis Healthcare LLC |
Adp of the SNF | Feb 1, 2020 | |
| Sun Healthcare Group Inc |
Adp of the SNF | Feb 1, 2020 | |
| Sohail Davoudian |
Operational/Managerial Control | Oct 6, 2020 | |
| Adp of the SNF | Oct 6, 2020 | ||
| Gen BQ JV Holdings LLC |
Adp of the SNF | Feb 1, 2020 | |
| Welltower Op, LLC |
Indirect Ownership Interest | Feb 1, 2020 | 2.7% |
| Arnold M Whitman |
Adp of the SNF | Feb 1, 2020 | |
| Genesis Healthcare Inc |
Adp of the SNF | Feb 1, 2020 | |
| Zac Properties XI LLC |
Indirect Ownership Interest | Feb 1, 2020 | 3.8% |
| Steven E Fishman |
Indirect Ownership Interest | Feb 1, 2020 | 3.8% |
| 20820 Earl Street Property LLC |
Adp of the SNF | Feb 1, 2020 | |
| Aaron H Robin |
5% Or Greater Indirect Ownership Interest |
Feb 1, 2021 | 100% |
| Managing Control - Governing Body |
Nov 3, 2025 | ||
| Adp of the SNF | Feb 1, 2020 | ||
| GHC Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 1, 2020 | 50% |
| Adp of the SNF | Feb 1, 2020 | ||
| Genesis Holdings LLC |
Adp of the SNF | Feb 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030819000057 | CA | Part a Provider - Skilled Nursing Facility | 7012828528 | Practice locations: Torrance, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 910000041 | CA | Yes |
Addresses
Primary practice location
20820 Earl St
Torrance, CA 90503-4307
Mailing address
20820 Earl St
Torrance, CA 90503-4307
Phone (310) 371-1228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05032H | Medicaid | CA |
Other names
- The Earlwood
Other providers in Torrance, CA
- Samantha Tham
- Christos Thanos
- The Caregivers of Miele Martis
- The Center of Hospice Care, Inc.
- The Cove: Therapy & Coaching
- The Esplanade Group, Inc.
- The Healthy Woman'S Medical Centre
- The Institute of Brain and Spine Surgery
- The Little Therapy Co.
- The Living Well Phcy Inc
All providers in Torrance, 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 Jan 26, 2016. 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.