Active NPI
University Health LLC
- Skilled Nursing Facility
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- UNIVERSITY HEALTH LLC
- Practice address
- 230 E Adams Blvd
Los Angeles, CA 90011-1426 - Phone
- (213) 948-0193
- Fax
- (213) 748-3299
- NPI assigned
- Dec 26, 2022
- 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
- Ezequiel Bercovich
- Title
- Manager
- Phone
- (213) 948-0193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
230 E Adams Blvd
Los Angeles, CA 90011-1426
Mailing address
230 E Adams Blvd
Los Angeles, CA 90011-1426
Phone (213) 948-0193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230523001567 | CA | Part A Provider - Skilled Nursing Facility | 9234595935 | Practice locations: Los Angeles, CA |
Skilled nursing facility certification: CCN 056206
- Legal name
- UNIVERSITY HEALTH, LLC
- Doing business as
- UNIVERSITY PARK HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 24, 1970
- Last certification
- Feb 13, 2025
- Beds
- 88
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Sep 22, 2022 in CA
- Enrollment address
- 230 E Adams Blvd
Los Angeles, CA 90011-1426 - Nursing home name
- UNIVERSITY PARK HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- University Park Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 24, 1970
- Medicare certification status
- Active
- Certified beds
- 88
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
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 |
|---|---|---|---|
| Chonoch Gewirtz | Direct Ownership Interest | Sep 20, 2022 | 2% |
| Maple University Holdings, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 30% |
| SNF Management Inc | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Mark Galeck | Operational/Managerial Control | Sep 17, 2024 | |
| Adp of the SNF | Sep 17, 2024 | ||
| Shuo Steven Wang | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Ezequiel Bercovich | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 36% |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem | Direct Ownership Interest | Jan 1, 2023 | 3% |
| Helene G Mayer | 5% Or Greater Indirect Ownership Interest | Dec 1, 2022 | 18% |
| John Garcia | Operational/Managerial Control | Jan 2, 2023 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1538232137
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1104539956
Maple University Holdings, LLC, SNF Management Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1672012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672012800000",
"number": "1841903697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E ADAMS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111426",
"telephone_number": "213-948-0193",
"fax_number": "213-748-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E ADAMS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111426",
"telephone_number": "213-948-0193",
"fax_number": "213-748-3299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-26",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A",
"authorized_official_last_name": "BERCOVICH",
"authorized_official_first_name": "EZEQUIEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "213-948-0193"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.