HOLLENBECK PALMS
NPI 1831186345
Skilled Nursing Facility in Los Angeles, CA

Active since September 29, 2005CLIA 05D0541996 · Waiver
3/5
Overall Rating
573 S BOYLE AVE, LOS ANGELES, CA 90033(323) 263-6195(323) 268-1248 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Hollenbeck Palms NPPES

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

HOLLENBECK PALMS (NPI 1831186345), doing business as Hollenbeck Home, is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Johnny T Young, Controller, as its authorized official.

NPPES Registry Identity

NPI1831186345
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLLENBECK PALMS
Location Address573 S BOYLE AVELos Angeles, CA 90033-3816
Mailing Address573 S Boyle AveLos Angeles, CA 90033-3816 · (323) 263-6195 · Fax (323) 780-3152
Fax(323) 268-1248
Organization SubpartNo
Authorized OfficialJohnny T YoungController · (323) 263-6195
Enumeration DateSeptember 29, 2005
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1831186345 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 · 970000076
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.
573 S BOYLE AVE, Los Angeles, CA 90033

Other Names 1

Former Legal Business NameHollenbeck Home

Other Identifiers 1

MedicaidZZT05115FCA

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 05D0541996

Hollenbeck Palms · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0541996
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas H. Kanegae
Laboratory Phone(323) 263-6195
Laboratory LocationHollenbeck Palms573 S Boyle Ave, Los Angeles, CA 90033
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 Hollenbeck Palms (CMS certification number 055115), from CMS Care Compare.

Hollenbeck Palms

Nursing home · Los Angeles, CA
3/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number055115
Certified Beds106 beds57 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident and family councils
Continuing care retirement community 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.
104
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 2.6 · LPN 0.92 · RN 0.6
4.11 hrs per resident per day
Weekend Nurse Staffing
3.71 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
27.9%
Registered Nurse Turnover
0%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
4
Infection-Control Citations
1
Fines
1 totaling $7,442.50
Medicare Payment Denials
0
Total Penalties
1
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.

Dietitian, Registered
573 S BOYLE AVE
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
573 S BOYLE AVE
LOS ANGELES, CA 90033
Dietitian, Registered
573 S BOYLE AVE
LOS ANGELES, CA 90033

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 Hollenbeck Palms's NPI number?

The NPI number for Hollenbeck Palms is 1831186345. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider was formerly known as Hollenbeck Home.

Where is Hollenbeck Palms located?

Hollenbeck Palms is located at 573 S Boyle Ave, Los Angeles, CA 90033. The listed phone number is (323) 263-6195.

What is Hollenbeck Palms's specialty?

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

Does Hollenbeck Palms hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0541996) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hollenbeck Palms a Medicare-certified nursing home?

Yes. Hollenbeck Palms is a Medicare-certified nursing home with 106 certified beds.

What quality rating does Hollenbeck Palms have?

CMS rates Hollenbeck Palms 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 Hollenbeck Palms was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.