Hollenbeck Palms

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000076 Issued in CA

Legal business name

HOLLENBECK PALMS

Practice address

573 S Boyle Ave
Los Angeles, CA 90033-3816

Phone

(323) 263-6195

Fax

(323) 268-1248

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Johnny T Young

Title

Controller

Phone

(323) 263-6195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hollenbeck Home Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055115

Legal name

HOLLENBECK PALMS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Oct 25, 2024

Beds

106

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Nov 20, 2001 in CA

Enrollment address

573 S Boyle Ave
Los Angeles, CA 90033-3816

Nursing home name

HOLLENBECK PALMS

Listed as

Hollenbeck PalmsCCN 055115

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10653.7 residents per day on average

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 11

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.

• Thomas Henry Kanegae, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902805914

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 65

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Baywood Court

  • Skilled Nursing Facility
  • Castro Valley, CA
  • NPI 1043489016

  Wipfli LLP

  CMS ownership
• Congregational Homes

  • Skilled Nursing Facility
  • Pomona, CA
  • NPI 1609859461

  Wipfli LLP

  CMS ownership
• 1111 Bonforte Opco, LLC

  • Skilled Nursing Facility
  • Pueblo, CO
  • NPI 1285060756

  Wipfli LLP

  CMS ownership
• Accel at Longmont Health and Rehab, LLC

  • Skilled Nursing Facility
  • Longmont, CO
  • NPI 1679382519

  Wipfli LLP

  CMS ownership
• Bay Area Lutheran Homes Inc

  • Skilled Nursing Facility
  • Green Bay, WI
  • NPI 1780756890

  Wipfli LLP

  CMS ownership
• Bethany-St Joseph Corporation

  • Skilled Nursing Facility
  • Onalaska, WI
  • NPI 1033102983

  Wipfli LLP

  CMS ownership
• Bethany-St Joseph Corporation

  • Skilled Nursing Facility
  • La Crosse, WI
  • NPI 1356334205

  Wipfli LLP

  CMS ownership
• Billings Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Billings, MT
  • NPI 1043903420

  Wipfli LLP

  CMS ownership
• County of Sheboygan

  • Skilled Nursing Facility
  • Plymouth, WI
  • NPI 1003988049

  Wipfli LLP

  CMS ownership
• Four Winds Manor, Inc.

  • Skilled Nursing Facility
  • Verona, WI
  • NPI 1902895592

  Wipfli LLP

  CMS ownership
• Good Shepherd Home, LTD

  • Skilled Nursing Facility
  • Seymour, WI
  • NPI 1235106725

  Wipfli LLP

  CMS ownership
• Hanover Hill Health Care Center Services Inc.

  • Nursing Facility/Intermediate Care Facility
  • Manchester, NH
  • NPI 1235245390

  Wipfli LLP

  CMS ownership

Affiliated clinicians 2

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

• Azmy F Ghaly, MEDICAL DOCTOR

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1194899336

  Nursing home

  Care Compare affiliation
• Thomas Henry Kanegae, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902805914

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1831186345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 S BOYLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333816",
            "telephone_number": "323-263-6195",
            "fax_number": "323-780-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 S BOYLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333816",
            "telephone_number": "323-263-6195",
            "fax_number": "323-268-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLENBECK PALMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "323-263-6195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05115F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollenbeck Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Avi Hollander, OD
• Edward Jack Hollander, RPH
• Rene DJ Hollander, PSY.D.
• Sarah Hollander, MD
• Zachary Philip Hollander, DDS
• Jordan Taylor Holler, MD
• Mossie Holley, THERAPIST
• April Holliday, R.D.
• Michael Anthony Holliday, M.D.
• Cheyenne Hollie

• Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 4, 2024; 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.