Active NPI
Studio City Convalescent Hospital LLC
Doing business as Studio City Rehabilitation Center
- Skilled Nursing Facility
- Studio City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 920000071
- Legal business name
- STUDIO CITY CONVALESCENT HOSPITAL LLC
- Doing business as
- Studio City Rehabilitation Center
- Practice address
- 11429 Ventura Blvd.
Studio City, CA 91604-3143 - Phone
- (818) 766-9551
- Fax
- (818) 766-1618
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 29, 2023
- 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
- Ira David Friedman
- Title
- Manager
- Phone
- (213) 389-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 920000071 | CA | Primary |
Addresses
Primary practice location
11429 Ventura Blvd.
Studio City, CA 91604-3143
Mailing address
4032 Wilshire Blvd FL6
Los Angeles, CA 90010-3425
Phone (213) 389-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55686F | Medicaid | CA |
Other names 1
- Studio City Rehabilitation 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 |
|---|---|---|---|---|
| O20160406000510 | CA | Part A Provider - Skilled Nursing Facility | 1254639388 | Practice locations: Studio City, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821160839. Details of each certification follow.
Skilled nursing facility certification: CCN 555686
- Legal name
- STUDIO CITY CONVALESCENT HOSPITAL LLC
- Doing business as
- STUDIO CITY REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 4, 1996
- Last certification
- Aug 23, 2024
- Beds
- 181
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Apr 3, 1967 in CA
- Enrollment address
- 11429 Ventura Blvd
Studio City, CA 91604-3143 - Nursing home name
- STUDIO CITY REHABILITATION CENTER
- Affiliated entity
- LONGWOOD MANAGEMENT CORPORATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Studio City Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 4, 1996
- Medicare certification status
- Active
- Certified beds
- 181
- Chain
- Longwood Management Corporation
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0561787 | Studio City Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Rachel Klavan | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Corporate Director | Jun 30, 2023 | 20% | |
| Ira David Friedman Group a Business Assets Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Aaron Friedman Group a Business Assets Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Libby Friedman Lehmann Group a Business Assets Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Heather Shouhed | W-2 Managing Employee | Feb 8, 2012 | |
| Longwood Management LLC | Other | Jun 30, 2023 | |
| Ruchel Friedman Klavan Group a Business Assets Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Ira David Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Zaid Pervaiz | Other | Jan 7, 2022 |
Facilities with the same owner 15
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Alden Terrace Convalescent Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1568544781
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Broadway Manor Care Center
- Skilled Nursing Facility
- Glendale, CA
- NPI 1053480418
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1407934946
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust
-
dba Casa Bonita Convalescent Hospital
- Skilled Nursing Facility
- San Dimas, CA
- NPI 1730269234
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Green Acres Healthcare Center
- Skilled Nursing Facility
- Rosemead, CA
- NPI 1669552022
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Imperial Care Center
- Skilled Nursing Facility
- Studio City, CA
- NPI 1265502405
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Longwood Manor Convalescent Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1235213810
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Magnolia Gardens Convalescent Hospital
- Skilled Nursing Facility
- Granada Hills, CA
- NPI 1588750202
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba California Healthcare & Rehabilitation Center
- Skilled Nursing Facility
- Van Nuys, CA
- NPI 1932286671
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Northridge Care Center
- Skilled Nursing Facility
- Reseda, CA
- NPI 1093890253
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba San Gabriel Convalescent Center
- Skilled Nursing Facility
- Rosemead, CA
- NPI 1215011556
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
-
dba Whittier Pacific Care Center
- Skilled Nursing Facility
- Whittier, CA
- NPI 1679657993
Aaron Friedman Group a Business Assets Trust, Ira David Friedman Group a Business Assets Trust, Libby Friedman Lehmann Group a Business Assets Trust, Ruchel Friedman Klavan Group a Business Assets Trust
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.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1518992585
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1518992585
Nursing home
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1164685111
Nursing home
-
- Sleep Medicine (Internal Medicine) Physician
- Burbank, CA
- NPI 1114189354
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1821160839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 WILSHIRE BLVD FL6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103425",
"telephone_number": "213-389-6900",
"fax_number": "818-766-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11429 VENTURA BLVD.",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043143",
"telephone_number": "818-766-9551",
"fax_number": "818-766-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUDIO CITY CONVALESCENT HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "213-389-6900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "920000071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55686F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Studio City Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Studio City Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Studio City, CA
- Mark Stolyar, DC
- Shelly Stover, LMFT
- Studio Care Hospice Inc
- Studio City Anesthesia Medical Associates, Inc.
- Studio City Clinical Associates a Licensed Clinical Social Worker Corp
- Studio City Hospice Inc
- Studio City Recovery
- Studio City Surgical Center
- Studio City Urgent Care and Medical Center
- Tyesha Lashon Sullivan, BSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.