Srsw LLC
NPI 1184055956ActiveOrganization· Skilled Nursing Facility· West Covina, CA
Skilled Nursing Facility in West Covina, California, registered in NPPES in December 2013, part of Srso LLC. The authorized official on file is Spencer Robert Samuelian, Manager.
Overview
| NPI | 1184055956 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Srso LLC |
| NPI issued | Dec 4, 2013 |
| Last updated in NPPES | May 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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