Organization Active NPI

Meadows Ridge Care Center LLC

Doing business as Meadows Ridge Care Center

  • Skilled Nursing Facility
  • Colton, CA
National Provider Identifier
1487196655
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWS RIDGE CARE CENTER LLC
Doing business as
Meadows Ridge Care Center
Practice address
1700 E Washington St
Colton, CA 92324-4619
Phone
(909) 824-1530
Fax
(909) 825-9013
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 CA Primary

Addresses

Primary practice location

1700 E Washington St
Colton, CA 92324-4619

Mailing address

4032 Wilshire Blvd
FL 6
Los Angeles, CA 90010-3405
Phone (213) 389-6900

Other names 1

  • Meadows Ridge 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
O20170214002583 CA Part A Provider - Skilled Nursing Facility 4284917402 Practice locations: Colton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487196655. Details of each certification follow.

Skilled nursing facility certification: CCN 555089

Legal name
MEADOWS RIDGE CARE CENTER LLC
Doing business as
MEADOWS RIDGE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1978
Last certification
Oct 4, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Longwood Management
Organization structure
LLCProprietary
Enrollment address
1700 E Washington St
Colton, CA 92324-4619
Nursing home name
MEADOWS RIDGE CARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadows Ridge Care CenterCCN 555089 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9986.6 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
1Fines totaling $9,032

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
05D0877236Meadows Ridge Care Center1700 E Washington St, Colton, CA 92324Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

1700 E Washington St
Colton, CA 92324
Phone (909) 824-1530

Ownership & related parties

All disclosed owners & managing parties 26

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 Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Individual Adp of the SNF Jun 30, 2023
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual Trustee of the SNF Jun 30, 2023
Richelle Neighbors Individual Operational/Managerial Control Jul 14, 2025
Adp of the SNF Jul 14, 2025
Hansen Hunter LLC Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Investment firm, For-profit Adp of the SNF Jun 30, 2023
The Klavan Family Trust Organization, Los Angeles, CA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Joshua Klavan Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Maria Victoria Lagos Adlawan Individual Operational/Managerial Control Oct 21, 2024
Adp of the SNF Oct 21, 2024
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Shmuel Notis Individual Trustee of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR Corporation, LLC, For-profit Adp of the SNF Jun 30, 2023
Longwood Management LLC Organization, Los Angeles, CA For-profit, Chain home office Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Sepehr Golboo Individual Operational/Managerial Control May 10, 2019
Adp of the SNF May 10, 2019
Michael Abraham Individual Operational/Managerial Control Nov 6, 2023
Adp of the SNF Jul 14, 2025
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Meadows Ridge Investments LP Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Ira David Friedman Individual Corporate OfficerPresident Jun 30, 2023
Operational/Managerial Control Jun 30, 2023
Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013

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 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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1487196655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD",
            "address_2": "FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103405",
            "telephone_number": "213-389-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244619",
            "telephone_number": "909-824-1530",
            "fax_number": "909-825-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS RIDGE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Ridge Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.