Menifee Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MENIFEE POST ACUTE LLC

Practice address

27600 Encanto Dr
Menifee, CA 92586-3304

Phone

(951) 679-6858

NPI assigned

Jul 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Johnson

Title

Ceo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other names 1

• Menifee Lakes Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056185

Legal name

MENIFEE POST ACUTE LLC

Doing business as

MENIFEE LAKES POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1978

Last certification

Mar 13, 2025

Beds

99

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Aug 16, 2022

Organization structure

LLCProprietary

Enrollment address

27600 Encanto Dr
Sun City, CA 92586-3304

Nursing home name

MENIFEE LAKES POST ACUTE

Affiliated entity

DAVID JOHNSON

Listed as

Menifee Lakes Post AcuteCCN 056185

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9992.3 residents per day on average

Chain

David Johnson48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839

  Adp of the SNF

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pranav Rajendra Barve, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1972899839

  Nursing home

  Care Compare affiliation
• Elie Ghasb, MD

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1376280354

  Nursing home

  Care Compare affiliation
• Larry C Hughes, MD

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1417033291

  Nursing home

  Care Compare affiliation
• Anas Kayal, MD

  • Nephrology Physician
  • San Marcos, CA
  • NPI 1851376917

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1033844634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 ENCANTO DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863304",
            "telephone_number": "951-679-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 ENCANTO DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925863304",
            "telephone_number": "951-679-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENIFEE POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menifee Lakes Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Menifee Lakes Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noemi Sylvia Mendoza, NP
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• Menifee Hearing Aid LLC
• Menifee Laser Center, Inc.
• Menifee Union Esd
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• Monica Meza
• Michael McWalters, D.D.S., Inc.
• Daniel Steven Miley, CMT

• Skilled Nursing Facility in Menifee, CA
• Providers in Menifee, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.