BONNIE BRAE CONVALESCENT HOSPITAL INC.
NPI 1487706628
Skilled Nursing Facility in Los Angeles, CA

Active since January 17, 2007CLIA 05D0726091 · Waiver
5/5
Overall Rating
420 S BONNIE BRAE ST, LOS ANGELES, CA 90057(213) 483-8144(213) 483-6145 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonnie Brae Convalescent Hospital Inc. NPPES

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

BONNIE BRAE CONVALESCENT HOSPITAL INC. (NPI 1487706628) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Elma B. Cayton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1487706628
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBONNIE BRAE CONVALESCENT HOSPITAL INC.
Location Address420 S BONNIE BRAE STLos Angeles, CA 90057-3010
Mailing Address420 S Bonnie Brae StLos Angeles, CA 90057-3010 · (213) 483-8144 · Fax (213) 483-1414
Fax(213) 483-6145
Organization SubpartNo
Authorized OfficialElma B. CaytonChief Executive Officer · (213) 483-8144
Enumeration DateJanuary 17, 2007
Last NPPES UpdateNovember 21, 2013
NPI 1487706628 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 · 970000062
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.
420 S BONNIE BRAE ST, Los Angeles, CA 90057

Other Identifiers 2

Medicare OSCAR/certification055538CA
MedicaidZZT05538GCA

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 05D0726091

Bonnie Brae Convalescent Hospital · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0726091
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorErlinda L. Ballo
Laboratory Phone(213) 483-8144
Laboratory LocationBonnie Brae Convalescent Hospital420 S Bonnie Brae St, Los Angeles, CA 90057
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 Bonnie Brae Skilled Nursing (CMS certification number 055538), from CMS Care Compare.

Bonnie Brae Skilled Nursing

Nursing home · Los Angeles, CA
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number055538
Certified Beds59 beds41 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
55.33
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 2.72 · LPN 0.83 · RN 0.6
4.14 hrs per resident per day
Weekend Nurse Staffing
3.91 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
11.9%
Registered Nurse Turnover
0%
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
2
Substantiated Complaints
0
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.

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 Bonnie Brae Convalescent Hospital Inc.'s NPI number?

The NPI number for Bonnie Brae Convalescent Hospital Inc. is 1487706628. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Bonnie Brae Convalescent Hospital Inc. located?

Bonnie Brae Convalescent Hospital Inc. is located at 420 S Bonnie Brae St, Los Angeles, CA 90057. The listed phone number is (213) 483-8144.

What is Bonnie Brae Convalescent Hospital Inc.'s specialty?

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

Does Bonnie Brae Convalescent Hospital Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0726091) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bonnie Brae Convalescent Hospital Inc. a Medicare-certified nursing home?

Yes. Bonnie Brae Skilled Nursing is a Medicare-certified nursing home with 59 certified beds.

What quality rating does Bonnie Brae Convalescent Hospital Inc. have?

CMS rates Bonnie Brae Skilled Nursing 5 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 Bonnie Brae Convalescent Hospital Inc. was last updated on November 21, 2013. 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.