Organization Active NPI

Beaumont Manor LLC

  • Skilled Nursing Facility
  • Beaumont, CA
National Provider Identifier
1376963785
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BEAUMONT MANOR LLC
Practice address
1441 N Michigan Ave
Beaumont, CA 92223-1728
Phone
(951) 769-2500
Fax
(951) 769-2511
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1441 N Michigan Ave
Beaumont, CA 92223-1728

Mailing address

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

Other names 1

  • Highland Springs Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821002321 CA Part A Provider - Skilled Nursing Facility 4183842826 Practice locations: Beaumont, CA

Skilled nursing facility certification: CCN 555135

Legal name
BEAUMONT MANOR LLC
Doing business as
HIGHLAND SPRINGS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 10, 1981
Last certification
Jul 25, 2024
Beds
87
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
1441 Michigan Ave
Beaumont, CA 92223-1728
Nursing home name
HIGHLAND SPRINGS CARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Highland Springs Care CenterCCN 555135
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 10, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8781.0 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
3Fines totaling $77,191

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
05D0571963Highland Springs Care Center1441 N Michigan Ave, Beaumont, CA 92223Certificate of waiverAug 31, 2026

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%
Lehmann Family 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Aug 1, 2014 15%
The Klavan Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Aug 1, 2014 15%
Wacy Johnson Individual W-2 Managing EmployeeAdministrator Sep 1, 2021
Longwood Management LLC Organization, Los Angeles, CA Corporation, 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 15%
Ira D Friedman 1991 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Aug 1, 2014 15%
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Aug 1, 2014 15%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Jun 30, 2023 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 1

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": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1376963785",
    "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": "1441 N MICHIGAN AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231728",
            "telephone_number": "951-769-2500",
            "fax_number": "951-769-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2016-03-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Springs Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

Verify at the official NPI Registry.