KSM Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000028 Issued in CA

Legal business name

KSM HEALTHCARE, INC.

Practice address

1400 W Glenoaks Boulevard
Glendale, CA 91201-1911

Phone

(818) 242-1183

Fax

(818) 246-1085

NPI assigned

Apr 18, 2006

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Curt Haedrich, NHA

Title

Administrator

Phone

(818) 242-1183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KING SOLOMON MANAGEMENT INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952366460. Details of each certification follow.

• CCN 555839 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555839

Legal name

KSM HEALTHCARE INC

Doing business as

DREIERS NURSING CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 6, 2007

Last certification

Jun 11, 2024

Beds

52

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

May 1, 1995 in CA

Enrollment address

1400 W Glenoaks Blvd
Glendale, CA 91201-1911

Nursing home name

DREIER'S NURSING CARE CENTER

Listed as

Dreier's Nursing Care CenterCCN 555839 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 6, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5354.4 residents per day on average

Penalties (3 years)

3Fines totaling $48,700

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 4

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.

• Samvel Hmayakyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1538168174

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Samvel Hmayakyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1538168174
  NPD (past)

Affiliated clinicians 2

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

• Dale J Brent, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1992886618

  Nursing home

  Care Compare affiliation
• Hovhannes Kurghinyan, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043849979

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1952366460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W GLENOAKS BOULEVARD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011911",
            "telephone_number": "818-242-1183",
            "fax_number": "818-246-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W GLENOAKS BOULEVARD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011911",
            "telephone_number": "818-242-1183",
            "fax_number": "818-246-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSM HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HAEDRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CURT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-242-1183",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90085F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING SOLOMON MANAGEMENT INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zaven Edwin Krkasharian
• James Arnold Kropac II, D.O., M.P.H.
• Hannah N Krueger, PSY. D.
• Ksahabi, D.D.S., Inc
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• Joseph Ku
• Maksym Kuchma, MD, PHD
• Yulia Kudryavsev, RN-BC
• Leon Kujmanian, M.D.
• James Kulczycki, M.D.

• Skilled Nursing Facility in Glendale, CA
• Providers in Glendale, 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 21, 2011; 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.