La Huntington Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970000057 Issued in CA

Legal business name

LA HUNTINGTON HEALTHCARE LLC

Doing business as

Huntington Healthcare Center

Practice address

4515 Huntington Drive S.
Los Angeles, CA 90032-1940

Phone

(323) 225-5991

NPI assigned

Nov 6, 2006

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

LA HUNTINGTON HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Joan Lee, R.N.

Title

President/ Ceo

Phone

(323) 935-8490

Specialties & licenses 1

Addresses

Other names 1

• HUNTINGTON HEALTHCARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982773990. Details of each certification follow.

• CCN 555865 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555865

Legal name

LA HUNTINGTON HEALTHCARE LLC

Doing business as

HUNTINGTON HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 19, 2010

Last certification

Oct 18, 2024

Beds

99

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Aug 18, 2006 in CA

Enrollment address

4515 Huntington Drive S
Los Angeles, CA 90032-1940

Nursing home name

HUNTINGTON HEALTHCARE CENTER

Affiliated entity

IL & JOAN LEE

Listed as

Huntington Healthcare CenterCCN 555865 · All quality measures

Overall star rating

2 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9993.6 residents per day on average

Chain

Il & Joan Lee4 facilities in the chain

Penalties (3 years)

1Fines totaling $13,635

Processed by Care Compare on Aug 1, 2026.

Part of

La Huntington Healthcare LLC

Locations

All disclosed owners & managing parties 2

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

• Young Sun Kim, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1104925015
  NPD (past)

Affiliated clinicians 1

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

• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1982773990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193112",
            "telephone_number": "323-935-8490",
            "fax_number": "323-935-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HUNTINGTON DRIVE S.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321940",
            "telephone_number": "323-225-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HUNTINGTON HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA HUNTINGTON HEALTHCARE, LLC",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "323-935-8490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "970000057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUNTINGTON HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 28, 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.