Organization Active NPI

Eastland Subacute and Rehab LLC

  • Skilled Nursing Facility
  • El Monte, CA
National Provider Identifier
1265804397
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EASTLAND SUBACUTE AND REHAB LLC
Practice address
3825 Durfee Ave
El Monte, CA 91732-2505
Phone
(626) 444-2535
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
David Friedman
Title
Managing Member
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3825 Durfee Ave
El Monte, CA 91732-2505

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 1

IdentifierTypeStateIssuer
1265804397MedicaidCA

Other names 1

  • Eastland Subacute and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126001943 CA Part A Provider - Skilled Nursing Facility 2769785682 Practice locations: El Monte, CA

Skilled nursing facility certification: CCN 056477

Legal name
EASTLAND SUBACUTE AND REHAB LLC
Doing business as
EASTLAND SUBACUTE AND REAHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1979
Last certification
Aug 16, 2024
Beds
139
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Longwood Corporation
Organization structure
LLCProprietary
Enrollment address
3825 Durfee Ave
El Monte, CA 91732-2505
Nursing home name
EASTLAND SUBACUTE AND REHABILITATION CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eastland Subacute and Rehabilitation CenterCCN 056477
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
139127.1 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
2Fines totaling $56,394

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0562993Eastland Subacute and Rehab3825 N Durfee Ave, El Monte, CA 91732Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Aaron Friedman Individual 5% Or Greater Indirect Ownership InterestPresident Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
3825 Durfee Ave LP Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
The Klavan Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Joshua Klavan Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Shmuel Notis Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Individual Adp of the SNF Jun 30, 2023
Vernon Leonardo E Aguirre Individual Operational/Managerial Control Aug 22, 2022
Adp of the SNF Aug 22, 2022
Organization, Portland, OR Corporation, Holding company, For-profit Adp of the SNF Jun 30, 2023
Donald B Balacuit Individual Operational/Managerial Control Apr 2, 2024
Adp of the SNF Apr 2, 2024
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Adp of the SNF Jan 1, 2023
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Investment firm, For-profit Adp of the SNF Jun 30, 2023
Imelda Diaz Individual Operational/Managerial Control Sep 9, 2024
Adp of the SNF Sep 9, 2024
Ira D Friedman 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerPresident Jun 30, 2023 20%
Operational/Managerial Control Jun 30, 2023
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013
Organization, Placentia, CA Corporation, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1265804397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322505",
            "telephone_number": "626-444-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND SUBACUTE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265804397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastland Subacute and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.