NPIMap

Organization Active NPI

Pine Grove Healthcare & Wellness Centre, LP

  • Skilled Nursing Facility
  • San Gabriel, CA
National Provider Identifier
1477814820
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000045 Issued in CA
Legal business name
PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
Practice address
126 N San Gabriel Blvd
San Gabriel, CA 91775-2427
Phone
(626) 285-3131
Fax
(323) 286-2391
NPI assigned
Jun 1, 2012
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Shlomo Rechnitz
Title
Managing Member
Phone
(626) 800-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000045 CA Primary

Addresses

Primary practice location

126 N San Gabriel Blvd
San Gabriel, CA 91775-2427

Mailing address

126 N San Gabriel Blvd
San Gabriel, CA 91775-2427
Phone (626) 285-3131

Other identifiers 1

IdentifierTypeStateIssuer
LTC05056FMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120821000903 CA Part A Provider - Skilled Nursing Facility 8426205733 Practice locations: San Gabriel, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477814820. Details of each certification follow.

Skilled nursing facility certification: CCN 055056

Legal name
PINE GROVE HEALTHCARE & WELLNESS CENTRE LP
Doing business as
ROCKPORT HEALTHCARE SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1972
Last certification
Feb 7, 2025
Beds
75
Ownership / control type
Partnership
Organization structure
OtherProprietary
Enrollment address
126 N San Gabriel Blvd
San Gabriel, CA 91775-2427
Nursing home name
PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP
Affiliated entity
CORPORATE INTERFACE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pine Grove Healthcare & Wellness Centre, LPCCN 055056 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7569.0 residents per day on average
Chain
Corporate Interface Services40 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
05D2049491Pine Grove Healthcare & Wellness Centre, LP126 N. San Gabriel Blvd., San Gabriel, CA 91775Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fernview Convalescent Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Rockport Administrative Services, LLC Organization, Glendale, CA LLC Operational/Managerial Control Jun 1, 2012
Adp of the SNF Jun 12, 2025
Jonathan Weiss Individual Limited Partnership InterestLimited Partner Jan 1, 2019 3.5%
Cody Michael Geddes Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Olga Yamawaki Individual Operational/Managerial Control May 11, 2023
Adp of the SNF May 11, 2023
Eretz Pine Grove Properties LLC Organization, Los Angeles, CA LLC Adp of the SNF Oct 2, 2020
G4 Wellness GP LLC Organization, Glendale, CA LLC, Owned by another organization or individual General Partnership Interest Jun 1, 2012 0.1%
Shlomo Rechnitz Individual Limited Partnership InterestLimited Partner Jun 1, 2012 96.4%

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 70

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

View all 70

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1477814820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752427",
            "telephone_number": "626-285-3131",
            "fax_number": "323-286-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752427",
            "telephone_number": "626-285-3131",
            "fax_number": "323-286-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "RECHNITZ",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-800-1191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05056F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.