Colonial Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLONIAL POST ACUTE LLC

Practice address

10830 Oxnard St
North Hollywood, CA 91606-5021

Phone

(818) 763-8247

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

David Johnson

Title

Ceo

Phone

(310) 266-1080

Specialties & licenses 1

Addresses

Other names 1

• Vineland Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555011

Legal name

COLONIAL POST ACUTE LLC

Doing business as

VINELAND POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1976

Last certification

Oct 25, 2024

Beds

49

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

10830 Oxnard St
North Hollywood, CA 91606-5021

Nursing home name

VINELAND POST ACUTE

Affiliated entity

DAVID JOHNSON

Listed as

Vineland Post AcuteCCN 555011

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4944.8 residents per day on average

Chain

David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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.

• Keino Andre Rutherford, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1497807853

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Behzad Souferzadeh, D.O.

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1851694988

  Nursing home

  Care Compare affiliation
• Garo A Terzian, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1700952090

  Nursing home

  Care Compare affiliation
• Grace I Wong, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1053504902

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1992382907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 OXNARD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916065021",
            "telephone_number": "818-763-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-266-1080"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineland Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in North Hollywood, CA
• Providers in North Hollywood, 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 Mar 25, 2021; 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.