Greenfield Care Center of South Gate LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000160 Issued in CA

Legal business name

GREENFIELD CARE CENTER OF SOUTH GATE LLC

Practice address

8455 State St
South Gate, CA 90280-2330

Phone

(323) 564-7761

NPI assigned

Sep 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeng H Chen

Title

Owner

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056458

Legal name

GREENFIELD CARE CENTER OF SOUTH GATE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1978

Last certification

May 31, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 10, 2002 in CA

Enrollment address

8455 State St
South Gate, CA 90280-2339

Nursing home name

GREENFIELD CARE CENTER OF SOUTH GATE

Affiliated entity

EVA CARE GROUP

Listed as

Greenfield Care Center of South GateCCN 056458

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9976.0 residents per day on average

Chain

Eva Care Group9 facilities in the chain

Penalties (3 years)

2Fines totaling $57,906

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Tony K Tseng, M.D., M.S.

  • Internal Medicine Physician
  • South Gate, CA
  • NPI 1558523670

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Muhammad J Memon, M.D.

  • Internal Medicine Physician
  • Compton, CA
  • NPI 1689744120

  Nursing home

  Care Compare affiliation
• Tony K Tseng, M.D., M.S.

  • Internal Medicine Physician
  • South Gate, CA
  • NPI 1558523670

  Nursing home

  Care Compare affiliation
• Nazrul Islam, M.D.

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1629202841

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1790772465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 STATE ST",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802330",
            "telephone_number": "323-564-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD CARE CENTER OF SOUTH GATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-889-9929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06217K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette Gonzalez
• Jessica Maria Gonzalez, MS
• Sandra Gonzalez, PHARMD
• Amy Gowan, MD
• Gray Flex Inc
• Lori Jo Gresowski
• Elaina Grey
• Jonathan Guajardo
• Miguel Guerrero
• Ednagrace Guillen, NP

• Skilled Nursing Facility in South Gate, CA
• Providers in South Gate, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.