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AVALON VILLA HEALTH CARE LLC
NPI 1245604925
Skilled Nursing Facility in Los Angeles, CA

Active since November 18, 2015CLIA 05D0894470 · Waiver
1/5
Overall Rating
12029 AVALON BLVD, LOS ANGELES, CA 90061(323) 756-8191(323) 754-4031 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2017, Nov 18, 2015 (2 updates tracked since 2015).

About Avalon Villa Health Care Llc NPPES

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

AVALON VILLA HEALTH CARE LLC (NPI 1245604925) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Avrohom Lieb Tress, Vp, as its authorized official.

NPPES Registry Identity

NPI1245604925
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAVALON VILLA HEALTH CARE LLC
Location Address12029 AVALON BLVDLos Angeles, CA 90061-2838
Mailing Address12029 Avalon BlvdLos Angeles, CA 90061-2838 · (323) 756-8191 · Fax (323) 754-4031
Phone(323) 756-8191
Fax(323) 754-4031
Organization SubpartNo
Authorized OfficialAvrohom Lieb TressVp · (323) 823-3306
Enumeration DateNovember 18, 2015
Last NPPES UpdateMarch 30, 20172 updates tracked since enumeration
✔ NPI 1245604925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 940000075
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.
12029 AVALON BLVD, Los Angeles, CA 90061
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification056023CA

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 05D0894470

Avalon Villa Care Center · Los Angeles, CA
Active · expires Jan 15, 2028
CLIA Number05D0894470
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorHarding G. Young MD
Laboratory Phone(323) 756-8191
Laboratory LocationAvalon Villa Care Center12029 S Avalon Blvd, Los Angeles, CA 90061
CLIA data matches this NPI record on: 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 Avalon Villa Care Center (CMS certification number 056023), from CMS Care Compare.

Avalon Villa Care Center

Nursing home · Los Angeles, CA
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number056023
Certified Beds131 beds119 residents per day on average
Medicare & Medicaid Participant SinceNovember 22, 1968
Resident & Family CouncilResident and family councils
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.
3/5
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.
171.33
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 2.52 · LPN 1 · RN 0.36
3.88 hrs per resident per day
Weekend Nurse Staffing
3.61 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.6%
Registered Nurse Turnover
57.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
23
Substantiated Complaints
38
Fines
2 totaling $25,817.73
Medicare Payment Denials
1
Total Penalties
3
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 3

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

OLUFUNMI OSANEMOH WALLACE
Licensed Vocational Nurse
12029 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 756-8191
AKASH LOHIA DO
Physical Medicine & Rehabilitation
12029 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (872) 231-3162
AVALON POST ACUTE LLC
Skilled Nursing Facility
12029 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 756-8191

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 Avalon Villa Health Care LLC's NPI number?

The NPI number for Avalon Villa Health Care LLC is 1245604925. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Avalon Villa Health Care LLC located?

Avalon Villa Health Care LLC is located at 12029 Avalon Blvd, Los Angeles, CA 90061. The listed phone number is (323) 756-8191.

What is Avalon Villa Health Care LLC's specialty?

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

Does Avalon Villa Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0894470) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Avalon Villa Health Care LLC a Medicare-certified nursing home?

Yes. Avalon Villa Care Center is a Medicare-certified nursing home with 131 certified beds.

What quality rating does Avalon Villa Health Care LLC have?

CMS rates Avalon Villa Care Center 1 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 Avalon Villa Health Care LLC was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.