Organization Active NPI

Advanced Skilled Nursing Inc.

Doing business as Virgil Rehabilitation and Skilled Nursing Center

  • Skilled Nursing Facility
  • Los Angeles, CA
National Provider Identifier
1811211915
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ADVANCED SKILLED NURSING INC.
Doing business as
Virgil Rehabilitation and Skilled Nursing Center
Practice address
975 North Virgil Avenue
Los Angeles, CA 90029
Phone
(323) 665-5793
Fax
(323) 665-2683
NPI assigned
Mar 17, 2010
Last updated
Oct 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Elizabeth P Austria
Title
Chief Operating Officer
Phone
(323) 333-0509

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary
Skilled Nursing Facility 314000000X 055157 CA
Skilled Nursing Facility 314000000X ZZT05157F CA

Addresses

Primary practice location

975 North Virgil Avenue
Los Angeles, CA 90029

Mailing address

975 North Virgil Avenue
Los Angeles, CA 90029
Phone (323) 665-5793

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05157FMedicaidCA

Other names 1

  • Virgil Rehabilitation and Skilled Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000460 CA Part A Provider - Skilled Nursing Facility 6800926460 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811211915. Details of each certification follow.

Skilled nursing facility certification: CCN 055157

Legal name
ADVANCED SKILLED NURSING INC.
Doing business as
VIRGIL REHABILITATION AND SKILLED NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 10, 1968
Last certification
Dec 27, 2024
Beds
124
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 5, 2005 in CA
Enrollment address
975 N Virgil Ave
Los Angeles, CA 90029-2944
Nursing home name
VIRGIL REHABILITATION & SKILLED NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Virgil Rehabilitation & Skilled Nursing CenterCCN 055157 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 10, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12472.6 residents per day on average
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Sagar Parikh Individual Corporate OfficerPresident Sep 1, 2015
Corporate DirectorPresident Sep 1, 2015
Teresita Antonio Individual Operational/Managerial Control Jul 16, 2018
Adp of the SNF Jul 16, 2018
Jecery Ninonuevo Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Rushabh Jasvant Modi Individual 5% Or Greater Direct Ownership InterestOwner Feb 10, 2016 50%
Shruti Modi Individual 5% Or Greater Direct Ownership InterestOwner Feb 10, 2016 50%
Elizabeth P Austria Individual Corporate DirectorChief Operating Officer Feb 10, 2016
Adp of the SNF Feb 10, 2016
Brittany Brinley Individual Operational/Managerial Control Feb 1, 2021
Managing Control - Governing BodyMedical Director Feb 1, 2021
Adp of the SNF Feb 1, 2021

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1811211915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 NORTH VIRGIL AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-665-5793",
            "fax_number": "323-665-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NORTH VIRGIL AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-665-5793",
            "fax_number": "323-665-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SKILLED NURSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "AUSTRIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-333-0509"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "055157",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZT05157F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05157F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virgil Rehabilitation and Skilled Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.