Riverside Heights Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000213 Issued in CA

Legal business name

RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC

Practice address

8951 Granite Hill Dr
Riverside, CA 92509-1104

Phone

(951) 685-7474

Fax

(951) 685-3047

NPI assigned

Mar 4, 2015

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Ceo

Phone

(323) 836-9397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083006712. Details of each certification follow.

• CCN 555884 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555884

Legal name

RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 8, 2013

Last certification

Apr 4, 2024

Beds

70

Ownership / control type

Partnership

Organization structure

LLCProprietary

Incorporated

Dec 19, 2014 in CA

Enrollment address

8951 Granite Hill Drive
Riverside, CA 92509-1104

Listed as

Riverside Heights Healthcare Center, LLCCCN 555884 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Jul 8, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7067.2 residents per day on average

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 4

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.

• John Nguyen, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1770724544

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Luther Mangoba, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1528041894

  Nursing home

  Care Compare affiliation
• Thomas Allen Woodbury, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Rancho Cucamonga, CA
  • NPI 1609878115

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1083006712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 GRANITE HILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091104",
            "telephone_number": "951-685-7474",
            "fax_number": "951-685-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 GRANITE HILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091104",
            "telephone_number": "951-685-7474",
            "fax_number": "951-685-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE HEIGHTS HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-836-9397"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Healthcare System, L.P. (Riverside Community Hospital)
• Riverside Healthcare System, L.P. (Riverside Community Hospital)
• Riverside Healthcare System, L.P. (Riverside Community Hospital)
• Riverside Healthcare System, L.P. (Riverside Community Hospital)
• Riverside Healthcare System, L.P. (Riverside Community Hospital)
• Riverside Home Care, LLC (Salus Homecare)
• Riverside Home Medical Supply (riverside medical supply)
• Riverside Homes Senior Living LLC
• Riverside Imaging LLC (Computerized Diagnostic Imaging Centers - Riverside)
• Riverside Imaging LLC (Computerized Diagnostic Imaging Centers Riverside)

• Skilled Nursing Facility in Riverside, CA
• Providers in Riverside, 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 Jul 26, 2022; 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.