Active NPI
Advanced Skilled Nursing Inc.
Doing business as Virgil Rehabilitation and Skilled Nursing Center
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05157F | Medicaid | CA |
Other names 1
- Virgil Rehabilitation and Skilled Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 10, 1968
- Medicare certification status
- Active
- Certified beds
- 124
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sagar Parikh | Corporate Officer | Sep 1, 2015 | |
| Corporate Director | Sep 1, 2015 | ||
| Teresita Antonio | Operational/Managerial Control | Jul 16, 2018 | |
| Adp of the SNF | Jul 16, 2018 | ||
| Jecery Ninonuevo | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Jun 12, 2023 | ||
| Rushabh Jasvant Modi | 5% Or Greater Direct Ownership Interest | Feb 10, 2016 | 50% |
| Shruti Modi | 5% Or Greater Direct Ownership Interest | Feb 10, 2016 | 50% |
| Elizabeth P Austria | Corporate Director | Feb 10, 2016 | |
| Adp of the SNF | Feb 10, 2016 | ||
| Brittany Brinley | Operational/Managerial Control | Feb 1, 2021 | |
| Managing Control - Governing Body | 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.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1649616855
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1649421850
5% Or Greater Direct Ownership Interest
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.
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1518046432
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1932145992
Nursing home
-
- Anatomic Pathology & Clinical Pathology Physician
- Carson, CA
- NPI 1114140233
Nursing home
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
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- Advanced Respiratory Medical Systems Inc (ARMS Inc)
- Advanced RX Inc (Alvarado Discount Pharmacy)
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services Inc
- Advanced Sleep Medicine Services, Inc.
- Advanced SLP Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.