OLYMPIA CONVALESCENT HOSPITAL
NPI 1114291523
Skilled Nursing Facility in Los Angeles, CA

Active since March 02, 2012CLIA 05D0540711 · Waiver
3/5
Overall Rating
1100 S ALVARADO ST, LOS ANGELES, CA 90006(213) 487-3000(213) 487-1909 Get Directions Write a Review

NPPES record last updated: July 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympia Convalescent Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLYMPIA CONVALESCENT HOSPITAL (NPI 1114291523) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Martin Weiss, Manager, as its authorized official.

NPPES Registry Identity

NPI1114291523
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1100 SOUTH ALVARADO STREET, LLC
Location Address1100 S ALVARADO STLos Angeles, CA 90006-4110
Mailing Address1100 S Alvarado StLos Angeles, CA 90006-4110 · (213) 487-3000 · Fax (213) 487-1909
Fax(213) 487-1909
Organization SubpartNo
Authorized OfficialMartin WeissManager · (818) 385-3200
Enumeration DateMarch 2, 2012
Last NPPES UpdateJuly 20, 2014
NPI 1114291523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1100 S ALVARADO ST, Los Angeles, CA 90006

Other Names 1

Doing Business AsOlympia Convalescent Hospital

Other Identifiers 5

Medicare PIN05-6321CA
Medicare UPIN05-6321CA
MedicaidZZT18570GCA
Medicaid1114291523CA
Other05-6321CA · Medicare Id - Type Unspecified

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0540711

Olympia Convalescent Hospital · Los Angeles, CA
Active · expires Feb 5, 2027
CLIA Number05D0540711
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorYoung Jik Lee MD
Laboratory Phone(213) 487-3000
Laboratory LocationOlympia Convalescent Hospital1100 S Alvarado St, Los Angeles, CA 90006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Olympia Convalescent Hospital (CMS certification number 056321), from CMS Care Compare.

Olympia Convalescent Hospital

Nursing home · Los Angeles, CA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056321
Certified Beds135 beds93 residents per day on average
Medicare & Medicaid Participant SinceMay 8, 1972
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
80
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.63 · LPN 1.15 · RN 0.48
4.26 hrs per resident per day
Weekend Nurse Staffing
3.85 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
21.3%
Registered Nurse Turnover
30%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
9
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1100 S ALVARADO ST
LOS ANGELES, CA 90006
Physical Medicine & Rehabilitation
1100 S ALVARADO ST
LOS ANGELES, CA 90006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1100 South Alvarado Street, LLC's NPI number?

The NPI number for 1100 South Alvarado Street, LLC is 1114291523. It was assigned to this organization in the NPPES registry on March 2, 2012. The provider is doing business as Olympia Convalescent Hospital.

Where is 1100 South Alvarado Street, LLC located?

1100 South Alvarado Street, LLC is located at 1100 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (213) 487-3000.

What is 1100 South Alvarado Street, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 1100 South Alvarado Street, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0540711) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 1100 South Alvarado Street, LLC a Medicare-certified nursing home?

Yes. Olympia Convalescent Hospital is a Medicare-certified nursing home with 135 certified beds.

What quality rating does 1100 South Alvarado Street, LLC have?

CMS rates Olympia Convalescent Hospital 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for 1100 South Alvarado Street, LLC was last updated on July 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.