Organization Active NPI

Pasadena Care Center, LLC

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1952786931
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PASADENA CARE CENTER, LLC
Practice address
1640 N Fair Oaks Ave
Pasadena, CA 91103-1615
Phone
(626) 798-1175
NPI assigned
Jul 20, 2015
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Mr. Jenq Horng Chen
Title
Chairman
Phone
(626) 798-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1640 N Fair Oaks Ave
Pasadena, CA 91103-1615

Mailing address

1640 N Fair Oaks Ave
Pasadena, CA 91103-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921002514 CA Part A Provider - Skilled Nursing Facility 5294042487 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952786931. Details of each certification follow.

Skilled nursing facility certification: CCN 555213

Legal name
PASADENA CARE CENTER LLC
Doing business as
CEDAR PINE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 3, 1985
Last certification
May 23, 2025
Beds
99
Ownership / control type
Corporation
Most recent change of ownership
Apr 1, 2015
Organization structure
LLCProprietary
Incorporated
Mar 12, 2015 in CA
Enrollment address
1640 N Fair Oaks Ave
Pasadena, CA 91103-1615
Nursing home name
CEDAR PINE POST ACUTE
Affiliated entity
EVA CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cedar Pine Post AcuteCCN 555213 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 3, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9960.7 residents per day on average
Chain
Eva Care Group9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $9,113

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2192897Cedar Pine Post Acute1640 N Fair Oaks Ave, Pasadena, CA 91103Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James H Song Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Jenq H Chen Individual 5% Or Greater Direct Ownership Interest Apr 1, 2015
Adp of the SNF Apr 1, 2015
Tze-Yun Chen Individual 5% Or Greater Direct Ownership Interest Apr 1, 2015
Adp of the SNF Apr 1, 2015
Isidra a Agulto Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
John Padama Individual Corporate DirectorGoverning Body Aug 2, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1952786931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031615",
            "telephone_number": "626-798-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENQ",
        "authorized_official_middle_name": "HORNG",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "626-798-1175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.