Organization Active NPI

Vermont Healthcare Center, LLC

Doing business as Vermont Convalescent Center

  • Skilled Nursing Facility
  • Torrance, CA
National Provider Identifier
1750792941
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VERMONT HEALTHCARE CENTER, LLC
Doing business as
Vermont Convalescent Center
Practice address
22035 S Vermont Ave
Torrance, CA 90502-2120
Phone
(310) 328-0812
Fax
(310) 782-3890
NPI assigned
May 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Moise E Hendeles
Title
Member
Phone
(323) 933-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

22035 S Vermont Ave
Torrance, CA 90502-2120

Mailing address

22035 S Vermont Ave
Torrance, CA 90502-2120
Phone (310) 328-0812

Other identifiers 1

IdentifierTypeStateIssuer
1750792941MedicaidCA

Other names 1

  • Vermont Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902000214 CA Part A Provider - Skilled Nursing Facility 8123246337 Practice locations: Torrance, CA

Skilled nursing facility certification: CCN 056433

Legal name
VERMONT HEALTHCARE CENTER LLC
Doing business as
VERMONT HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 21, 1974
Last certification
Mar 14, 2025
Beds
200
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 23, 2013 in CA
Enrollment address
22035 S Vermont Ave
Torrance, CA 90502-2120
Nursing home name
VERMONT HEALTHCARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vermont Healthcare CenterCCN 056433 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 21, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200168.9 residents per day on average
Penalties (3 years)
6Fines totaling $158,506

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
05D0642575Vermont Healthcare Center22035 S Vermont Avenue, Torrance, CA 90502Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Geri-Care II Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Renalyn Pesquiza Individual Operational/Managerial Control Sep 1, 2015
Adp of the SNF Sep 1, 2015
Eliyahu Hendeles Individual 5% Or Greater Direct Ownership Interest Oct 14, 2014 15%
Operational/Managerial Control Oct 1, 2014
Managing Control - Governing BodyCfo Oct 1, 2014
Adp of the SNF Oct 1, 2014
Individual Adp of the SNF Apr 1, 2024
Individual Adp of the SNF Oct 1, 2014
Curtis G Hefner Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Apr 17, 2026
Fe Avila Individual Operational/Managerial Control Oct 4, 2016
Adp of the SNF Oct 4, 2016
Organization, Carson, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Apr 17, 2026
Moise E Hendeles Individual 5% Or Greater Direct Ownership Interest Oct 1, 2014 70%
Operational/Managerial Control Oct 1, 2014
Managing Control - Governing BodyPresident Oct 1, 2014
Adp of the SNF Oct 1, 2014
Migdalia Rivera Individual Operational/Managerial Control Oct 1, 2014
Adp of the SNF Oct 1, 2014
Organization, Cerritos, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Apr 17, 2026
Alger L Brion Individual 5% Or Greater Direct Ownership Interest Oct 1, 2014 15%
Operational/Managerial Control Oct 1, 2014
Managing Control - Governing BodyCoo Oct 1, 2014
Adp of the SNF Oct 1, 2014
Organization, Los Angeles, CA For-profit Adp of the SNF Dec 31, 2025
Jojo Tandoc Individual Operational/Managerial Control May 23, 2023
Adp of the SNF May 23, 2023
Organization, Los Angeles, CA For-profit Adp of the SNF Oct 1, 2014
Prapaporn Jiratjintana Individual Operational/Managerial Control Oct 1, 2014
Adp of the SNF Oct 1, 2014
Reza Ghanian Individual Operational/Managerial Control Oct 5, 2022
Adp of the SNF Oct 5, 2022
Ismael Ramirez Individual Operational/Managerial Control Oct 1, 2014
Adp of the SNF Oct 1, 2014
Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Oct 1, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1399766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1750792941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22035 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022120",
            "telephone_number": "310-328-0812",
            "fax_number": "310-782-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22035 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022120",
            "telephone_number": "310-328-0812",
            "fax_number": "310-782-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT HEALTHCARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-11",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "HENDELES",
        "authorized_official_first_name": "MOISE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "323-933-5763"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750792941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vermont Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.