Active NPI
West Covina Care, Inc.
Doing business as Beacon Healthcare Center
- Skilled Nursing Facility
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WEST COVINA CARE, INC.
- Doing business as
- Beacon Healthcare Center
- Practice address
- 919 N Sunset Ave
West Covina, CA 91790-1244 - Phone
- (626) 962-4489
- Fax
- (626) 869-0290
- NPI assigned
- May 22, 2019
- Last updated
- Apr 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Johnson
- Title
- Cfo
- Phone
- (949) 373-8373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
919 N Sunset Ave
West Covina, CA 91790-1244
Mailing address
25910 Acero Ste 350
Mission Viejo, CA 92691-7908
Phone (949) 441-9258
Other names 1
- Beacon Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190916003449 | CA | Part A Provider - Skilled Nursing Facility | 6103155114 | Practice locations: West Covina, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245897446. Details of each certification follow.
Skilled nursing facility certification: CCN 056331
- Legal name
- WEST COVINA CARE INC
- Doing business as
- BEACON HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1976
- Last certification
- Nov 17, 2024
- Beds
- 54
- Ownership / control type
- Corporation
- Multi-facility organization
- NAHS Southwest Inc.
- Organization structure
- Corporation
- Enrollment address
- 919 N Sunset Ave
West Covina, CA 91790-1244 - Nursing home name
- BEACON HEALTHCARE CENTER
- Affiliated entity
- NAHS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Beacon Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 1, 1976
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Nahs
National Provider Directory
National Provider DirectoryLocations
32836 Pacific Coast Hwy
Ste 203
Dana Point, CA 92629
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Larry Lewis | Corporate Officer | Nov 1, 2024 | |
| Corporate Director | Nov 1, 2024 | ||
| Operational/Managerial Control | Nov 1, 2024 | ||
| Managing Control - Governing Body | Nov 1, 2024 | ||
| Adp of the SNF | Nov 1, 2024 | ||
| Nahs Employee Stock Ownership Trust | 5% Or Greater Indirect Ownership Interest | Jun 30, 2018 | 100% |
| Indirect Ownership Interest | Jun 30, 2018 | 100% | |
| Nahs Southeast, Inc. | 5% Or Greater Direct Ownership Interest | Jun 30, 2018 | |
| Direct Ownership Interest | Jun 30, 2018 | ||
| Mark Walton | Corporate Officer | Apr 1, 2019 | |
| Corporate Director | Apr 1, 2019 | ||
| James Barlow | Corporate Director | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| Timothy J Paulsen | Corporate Director | Jun 29, 2018 | |
| Michael J Moore | Corporate Officer | Feb 1, 2022 | |
| Corporate Director | Feb 1, 2022 | ||
| Brenden Q Dahl | Corporate Director | Feb 1, 2023 | |
| Managing Control - Governing Body | Feb 1, 2023 | ||
| Nahs Holding Inc | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | |
| Anil Gupta | Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Jul 16, 2025 | ||
| Victor G Lundquist | Corporate Officer | Apr 1, 2019 | |
| Marc Johnson | Corporate Officer | Nov 20, 2022 | |
| Adp of the SNF | Nov 20, 2022 | ||
| Ralph Baja | Corporate Director | Jul 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1538182407
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Apple Valley Post-Acute Rehab
- Skilled Nursing Facility
- Sebastopol, CA
- NPI 1114902616
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
dba Brentwood Health Care Center
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1962487272
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
dba Fireside Convalescent Hospital
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1679558175
Nahs Holding Inc
-
dba Magnolia Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1467033142
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Linda Mar Care Center
- Skilled Nursing Facility
- Pacifica, CA
- NPI 1003891516
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
- Skilled Nursing Facility
- Riverside, CA
- NPI 1689062838
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Lincoln Square Post Acute Care
- Skilled Nursing Facility
- Stockton, CA
- NPI 1780816777
Nahs Holding Inc
-
dba Terrace View Care Center
- Skilled Nursing Facility
- Fullerton, CA
- NPI 1740265248
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Villa Health Care Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1386629889
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Rocky Point Care Center
- Skilled Nursing Facility
- Lakeport, CA
- NPI 1942508171
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1245897446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25910 ACERO STE 350",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917908",
"telephone_number": "949-441-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901244",
"telephone_number": "626-962-4489",
"fax_number": "626-869-0290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COVINA CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-22",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "949-373-8373"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beacon Healthcare Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beacon Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
- Cornell Wells Jr., M.D.
- Mark Wei Weng, D.O.
- Nicole Werdesheim, M.S. BCBA
- Wescove Laboratory Inc.
- West Covina Adult Day Services, Inc. (Cameron Adult Day Health Care Center)
- West Covina Dental Care- in Care of Miguel Montes DDS (Miguel Montes Inc.)
- West Covina Dental Group (Karim Zaklama DentalCorporation)
- West Covina Home Care LLC
- West Covina Home Health Care LLC
- West Covina Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.