NPIMap

Organization Active NPI

Magave Care Inc

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1467033142
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAGAVE CARE INC
Practice address
8133 Magnolia Ave
Riverside, CA 92504-3409
Phone
(951) 688-4321
Fax
(951) 688-3517
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

8133 Magnolia Ave
Riverside, CA 92504-3409

Mailing address

25910 Acero Ste 350
Mission Viejo, CA 92691-7908
Phone (949) 441-9258

Other names 1

  • Magnolia Rehabilitation & Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712003720 CA Part A Provider - Skilled Nursing Facility 9537561618 Practice locations: Riverside, CA

Skilled nursing facility certification: CCN 055474

Legal name
MAGAVE CARE INC
Doing business as
WOODCREST POST ACUTE & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 19, 1971
Last certification
Oct 3, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
North American Client Services
Organization structure
CorporationProprietary
Incorporated
Sep 8, 2020 in NV
Enrollment address
8133 Magnolia Ave
Riverside, CA 92504-3409
Nursing home name
WOODCREST POST ACUTE & REHABILITATION
Affiliated entity
NAHS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodcrest Post Acute & RehabilitationCCN 055474
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 19, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120105.4 residents per day on average
Chain
Nahs12 facilities in the chain
Penalties (3 years)
1Fines totaling $12,500

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Nahs Employee Stock Ownership Trust Organization, Mission Viejo, CA 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Nahs Southeast, Inc. Organization, Mission Viejo, CA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Mark Walton Individual Corporate OfficerSecretary Oct 1, 2020
Jonathan D Sloey Individual Corporate Director Aug 27, 2024
Nahs Holding Inc Organization, Mission Viejo, CA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
James Ellis-Sherinian Individual Corporate DirectorDirector Oct 1, 2020
Mahesh Bhambi Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
W-2 Managing Employee Aug 1, 2024
Marc Johnson Individual Corporate OfficerOfficer Nov 20, 2022

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1467033142",
    "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": "8133 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043409",
            "telephone_number": "951-688-4321",
            "fax_number": "951-688-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGAVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "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": "Magnolia Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Rehabilitation & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.