HYDE PARK REHABILITATION CENTER LLC
NPI 1275088916
Skilled Nursing Facility in Los Angeles, CA


Overall Rating: out of 5 stars

NPI Status: Active since August 23, 2016

Contact Information

6520 WEST BLVD
LOS ANGELES, CA
ZIP 90043
Phone: (323) 753-1354
Fax: (323) 210-3790

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0696195
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About HYDE PARK REHABILITATION CENTER LLC

This page provides the complete NPI Profile along with additional information for Hyde Park Rehabilitation Center Llc, a provider established in Los Angeles, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1275088916 assigned on August 2016. The practitioner's primary taxonomy code is 314000000X with license number 910000066 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jason Roberts (Owner)

NPI
1275088916
Provider Legal Name
HYDE PARK REHABILITATION CENTER LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6520 WEST BLVD LOS ANGELES, CA 90043
Location Phone
(323) 753-1354
Location Fax
(323) 210-3790
Mailing Address
6520 WEST BLVD LOS ANGELES, CA 90043
Mailing Phone
(909) 230-1455
Mailing Fax
(323) 210-3790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2016
Last Update Date
02-11-2025
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According to the Nursing Home Compare program data, Hyde Park Rehabilitation Center Llc has overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of out of 5 stars provide a snapshot of this nursing home quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
910000066
License State
CA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON ROBERTS

Authorized Official Title
OWNER
Authorized Official Phone
(909) 230-1455

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZT05326GMEDICAID (05)CA 

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality RatingNot Available
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
*This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Long-Stay Quality Measures RatingNot Available
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
*This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Short-Stay Quality Measures RatingNot Available
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
*This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Staffing RatingNot Available
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
*This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Nurse Aide Staffing Hours2.66 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.24 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeFor profit - Limited Liability company
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds72 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day67 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents15 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints7 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties5 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines5 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$234237.58
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0696195
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRITANNY NICOLE BRINLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hyde Park Rehabilitation Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HYDE PARK REHABILITATION CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275088916
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145081692
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 0 + 8 + 1 + 6 + 9 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1275088916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689733453HYDE PARK CONVALESCENT HOSPITAL, INC.
Organization
Skilled Nursing Facility6520 WEST BLVD
LOS ANGELES, CA 90043
(323) 753-1354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275088916, enumerated in the NPI registry as an "organization" on August 23, 2016

The provider is located at 6520 West Blvd Los Angeles, Ca 90043 and the phone number is (323) 753-1354

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0696195 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this nursing home is out of 5 stars which is when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.

This NPI record was last updated on August 23, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.