GLENDALE HEALTHCARE CENTER
NPI 1558356436
Skilled Nursing Facility in Glendale, CA

Active since September 15, 2005CLIA 05D0693005 · Waiver
1208 SOUTH CENTRAL AVENUE, GLENDALE, CA 91204(818) 246-5516(818) 246-9853 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glendale Healthcare Center NPPES

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

GLENDALE HEALTHCARE CENTER (NPI 1558356436) is a healthcare organization registered as a skilled nursing facility in Glendale, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jacob Wintner, Manager, as its authorized official.

NPPES Registry Identity

NPI1558356436
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGLENDALE CV OPERATING COMPANY, LLC
Location Address1208 SOUTH CENTRAL AVENUEGlendale, CA 91204
Mailing Address1208 South Central AvenueGlendale, CA 91204 · (818) 246-5516 · Fax (310) 574-1322
Fax(818) 246-9853
Organization SubpartNo
Authorized OfficialJacob WintnerManager · (323) 651-1808
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJuly 21, 2014
NPI 1558356436 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 · 970000042
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.
1208 SOUTH CENTRAL AVENUE, Glendale, CA 91204

Other Names 1

Doing Business AsGlendale Healthcare Center

Other Identifiers 2

MedicaidLTC55609GCA
Medicare OSCAR/certification555609CA

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 05D0693005

Glendale Cv Operating Company Dba Country Villa Glendale Hcc · Glendale, CA
Active · expires Aug 31, 2026
CLIA Number05D0693005
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaila Hanna MD
Laboratory Phone(818) 246-5516
Laboratory LocationGlendale Cv Operating Company Dba Country Villa Glendale Hcc1208 South Central Avenue, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Glendale Cv Operating Company, LLC's NPI number?

The NPI number for Glendale Cv Operating Company, LLC is 1558356436. It was assigned to this organization in the NPPES registry on September 15, 2005. The provider is doing business as Glendale Healthcare Center.

Where is Glendale Cv Operating Company, LLC located?

Glendale Cv Operating Company, LLC is located at 1208 South Central Avenue, Glendale, CA 91204. The listed phone number is (818) 246-5516.

What is Glendale Cv Operating Company, LLC's specialty?

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

Does Glendale Cv Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0693005) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glendale Cv Operating Company, LLC was last updated on July 21, 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.