MARYCREST MANOR
NPI 1932193984
Skilled Nursing Facility in Culver City, CA

Active since September 06, 2005CLIA 05D0719394 · Waiver
5/5
Overall Rating
10664 SAINT JAMES DRIVE, CULVER CITY, CA 90230(310) 838-2778(310) 838-9647 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marycrest Manor NPPES

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

MARYCREST MANOR (NPI 1932193984) is a healthcare organization registered as a skilled nursing facility in Culver City, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Veronica Maldonado, Administrator, as its authorized official.

NPPES Registry Identity

NPI1932193984
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARYCREST MANOR
Location Address10664 SAINT JAMES DRIVECulver City, CA 90230
Mailing Address10664 Saint James DriveCulver City, CA 90230 · (310) 838-2778
Fax(310) 838-9647
Organization SubpartNo
Authorized OfficialVeronica MaldonadoAdministrator · (310) 838-2778
Enumeration DateSeptember 6, 2005
Last NPPES UpdateDecember 18, 2012
NPI 1932193984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 910000079
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.
10664 SAINT JAMES DRIVE, Culver City, CA 90230

Other Identifiers 3

Medicare NSC5453410001
Medicare ID-Type Unspecified055196CA
MedicaidZZT05196FCA

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 05D0719394

Marycrest Manor · Culver City, CA
Active · expires Aug 31, 2026
CLIA Number05D0719394
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Vincent D. Nguyen
Laboratory Phone(310) 838-2778
Laboratory LocationMarycrest Manor10664 St James Dr, Culver City, CA 90230
CLIA data matches this NPI record on: 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 Marycrest Manor (CMS certification number 055196), from CMS Care Compare.

Marycrest Manor

Nursing home · Culver City, CA
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number055196
Certified Beds57 beds45 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.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
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.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
35.33
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 2.96 · LPN 1.48 · RN 0.51
4.95 hrs per resident per day
Weekend Nurse Staffing
4.42 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
23.3%
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
0
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.

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
10664 SAINT JAMES DRIVE
CULVER CITY, CA 90230

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 Marycrest Manor's NPI number?

The NPI number for Marycrest Manor is 1932193984. It was assigned to this organization in the NPPES registry on September 6, 2005.

Where is Marycrest Manor located?

Marycrest Manor is located at 10664 Saint James Drive, Culver City, CA 90230. The listed phone number is (310) 838-2778.

What is Marycrest Manor's specialty?

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

Does Marycrest Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0719394) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Marycrest Manor a Medicare-certified nursing home?

Yes. Marycrest Manor is a Medicare-certified nursing home with 57 certified beds.

What quality rating does Marycrest Manor have?

CMS rates Marycrest Manor 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 Marycrest Manor was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.