Organization Active NPI

Laurel Wellness and Nursing Center LLC

  • Skilled Nursing Facility
  • Fontana, CA
National Provider Identifier
1285874560
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAUREL WELLNESS AND NURSING CENTER LLC
Practice address
7509 Laurel Ave
Fontana, CA 92336-2315
Phone
(909) 822-8066
Fax
(213) 368-8560
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Kenneth H. Lehmann
Title
Secretary
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7509 Laurel Ave
Fontana, CA 92336-2315

Mailing address

4032 Wilshire Blvd Ste 600
Los Angeles, CA 90010-3405
Phone (213) 389-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000096 CA Part A Provider - Skilled Nursing Facility 1850449901 Practice locations: Fontana, CA

Skilled nursing facility certification: CCN 056429

Legal name
LAUREL WELLNESS AND NURSING CENTER LLC
Doing business as
LAUREL CONVALESCENT HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 15, 1974
Last certification
Nov 14, 2024
Beds
99
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
7509 N Laurel Ave
Fontana, CA 92336-2315
Nursing home name
LAUREL CONVALESCENT HOSPITAL
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurel Convalescent HospitalCCN 056429
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 15, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9977.3 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain

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
05D0886965Laurel Wellness & Nursing Center7509 North Laurel Avenue, Fontana, CA 92336Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Aaron Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Alexandra Tellez Individual W-2 Managing EmployeeAdministrator Jan 10, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit Other Aug 1, 2014
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Aug 1, 2014 20%
Zaid Pervaiz Individual Other Jan 7, 2022

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 3

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": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1285874560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103405",
            "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": "7509 LAUREL AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362315",
            "telephone_number": "909-822-8066",
            "fax_number": "213-368-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL WELLNESS AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.