IMPERIAL CREST HEALTH CARE CENTER
NPI 1316033087
Skilled Nursing Facility in Hawthorne, CA

Active since October 04, 2006
2/5
Overall Rating
11834 INGLEWOOD AVE, HAWTHORNE, CA 90250(310) 679-1461(310) 679-2511 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imperial Crest Health Care Center NPPES

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

IMPERIAL CREST HEALTH CARE CENTER (NPI 1316033087) is a healthcare organization registered as a skilled nursing facility in Hawthorne, California and active in the NPI registry since October 2006. The organization lists David Friedman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1316033087
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameIMPERIAL CREST HEALTHCARE CENTER, LLC
Location Address11834 INGLEWOOD AVEHawthorne, CA 90250-0107
Mailing Address4032 Wilshire Blvd Fl 6Los Angeles, CA 90010-3425 · (213) 389-6900 · Fax (213) 368-8560
Fax(310) 679-2511
Organization SubpartNo
Authorized OfficialDavid FriedmanManaging Member · (213) 389-6900
Enumeration DateOctober 4, 2006
Last NPPES UpdateJune 22, 2016
NPI 1316033087 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 · 910000054
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.
11834 INGLEWOOD AVE, Hawthorne, CA 90250

Other Names 1

Doing Business AsImperial Crest Health Care Center

Other Identifiers 2

MedicaidLTC55719FCA
Medicare OSCAR/certification555719CA

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 05D0948676

Imperial Crest Health Care Center · Hawthorne, CA
Expired · Jul 25, 2026
CLIA Number05D0948676
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorJamshid Niknam, MD
Laboratory Phone(310) 679-1461
Laboratory LocationImperial Crest Health Care Center11834 Inglewood Ave, Hawthorne, CA 90250
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 Imperial Crest Health Care Center (CMS certification number 555719), from CMS Care Compare.

Imperial Crest Health Care Center

Nursing home · Hawthorne, CA
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555719
Certified Beds105 beds87 residents per day on average
Medicare & Medicaid Participant SinceOctober 16, 1997
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.
4/5
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.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
68
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

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
1
Substantiated Complaints
3
Infection-Control Citations
0
Fines
4 totaling $11,485.82
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Imperial Crest Healthcare Center, LLC's NPI number?

The NPI number for Imperial Crest Healthcare Center, LLC is 1316033087. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Imperial Crest Health Care Center.

Where is Imperial Crest Healthcare Center, LLC located?

Imperial Crest Healthcare Center, LLC is located at 11834 Inglewood Ave, Hawthorne, CA 90250. The listed phone number is (310) 679-1461.

What is Imperial Crest Healthcare Center, LLC's specialty?

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

Is Imperial Crest Healthcare Center, LLC a Medicare-certified nursing home?

Yes. Imperial Crest Health Care Center is a Medicare-certified nursing home with 105 certified beds.

What quality rating does Imperial Crest Healthcare Center, LLC have?

CMS rates Imperial Crest Health Care Center 2 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 Imperial Crest Healthcare Center, LLC was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.