NPIMap

Organization Active NPI

Montebello Care Center, LLC

  • Skilled Nursing Facility
  • Montebello, CA
National Provider Identifier
1447225438
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000119 Issued in CA
Legal business name
MONTEBELLO CARE CENTER, LLC
Practice address
1035 W Beverly Blvd
Montebello, CA 90640
Phone
(323) 724-1315
Fax
(323) 724-1053
NPI assigned
Feb 22, 2006
Organization subpart
Yes
Parent organization
SUMMIT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000119 CA Primary

Addresses

Primary practice location

1035 W Beverly Blvd
Montebello, CA 90640

Mailing address

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 724-1315

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05153IMedicaidCA

Other names 1

  • Montebello 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
O20030918000012 CA Part A Provider - Skilled Nursing Facility 5597676635 Practice locations: Montebello, CA

Skilled nursing facility certification: CCN 055153

Legal name
MONTEBELLO CARE CENTER LLC
Doing business as
MONTEBELLO CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1969
Last certification
Apr 4, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
New Gen
Organization structure
LLC
Enrollment address
1035 W Beverly Blvd.
Montebello, CA 90640
Nursing home name
MONTEBELLO CARE CENTER
Affiliated entity
GENESIS HEALTHCARE

All disclosed owners & managing parties 31

Medicare enrollment files

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

NameRoleSinceShare
Arcadia Mier Individual Operational/Managerial Control Mar 4, 2019
Adp of the SNF Mar 4, 2019
9560 Pico LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
HCCF Management Group XI LLC Organization, Alpharetta, GA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 5.4%
Individual Adp of the SNF Aug 11, 2025
Gen Operations I LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Bold Quail Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Azmy F Ghaly Individual Operational/Managerial Control Mar 1, 2012
Adp of the SNF Mar 1, 2012
Powerback Rehabilitation LLC Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jun 1, 2020
Joan Oppus Individual Operational/Managerial Control Feb 1, 2015
Adp of the SNF Feb 1, 2015
Pico Ar LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Gen Operations II LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
BQ Operations Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2020 100%
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 50%
Newgen LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Jun 1, 2020
GHC JV Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Individual Adp of the SNF Aug 11, 2025
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 2.6%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Corporate OfficerVice President Jun 1, 2020
Pamela Shaw Individual Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2020
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 35.25%
Gen BQ JV Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 2.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 5.4%
Genesis Healthcare Inc Organization, Kennett Square, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 3.8%
Steven E Fishman Individual Indirect Ownership Interest Jun 1, 2020 3.8%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Corporate OfficerPresident Jun 1, 2020
GHC Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%

National Provider Directory

National Provider Directory

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 211

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

View all 211

Affiliated clinicians 5

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Montebello Care CenterCCN 055153
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 1, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9990.2 residents per day on average
Chain
Genesis Healthcare184 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
05D0880882Montebello Care Center1035 West Beverly Road, Montebello, CA 90640Certificate of waiverDec 26, 2027

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1447225438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-724-1315",
            "fax_number": "323-724-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-724-1315",
            "fax_number": "323-724-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05153I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montebello Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.