Active NPI
Riverside Care, Inc.
- Skilled Nursing Facility
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIVERSIDE CARE, INC.
- Practice address
- 4301 Caroline CT
Riverside, CA 92506-2902 - Phone
- (951) 683-7111
- NPI assigned
- Dec 22, 2014
- Last updated
- Apr 5, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
4301 Caroline CT
Riverside, CA 92506-2902
Mailing address
25910 Acero Ste 350
Mission Viejo, CA 92691-7908
Phone (949) 441-9258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05584G | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150925001085 | CA | Part A Provider - Skilled Nursing Facility | 0749506947 | Practice locations: Riverside, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689062838. Details of each certification follow.
Skilled nursing facility certification: CCN 555331
- Legal name
- RIVERSIDE CARE INC
- Doing business as
- VALENCIA GARDENS HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 28, 1988
- Last certification
- Jun 6, 2024
- Beds
- 59 (50 certified)
- Ownership / control type
- Corporation
- Multi-facility organization
- North American Client Services
- Organization structure
- Corporation
- Incorporated
- Oct 13, 2014 in NV
- Enrollment address
- 4301 Caroline CT
Riverside, CA 92506-2902 - Nursing home name
- VALENCIA GARDENS HEALTH CARE CENTER
- Affiliated entity
- NAHS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Valencia Gardens Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 28, 1988
- Medicare certification status
- Active
- Certified beds
- 50
- Chain
- Nahs
National Provider Directory
National Provider DirectoryLocations
4301 Caroline Ct
Riverside, CA 92506
Phone (909) 973-7772
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nahs Employee Stock Ownership Trust | 5% Or Greater Indirect Ownership Interest | Jun 30, 2018 | 100% |
| Nahs Southeast, Inc. | 5% Or Greater Direct Ownership Interest | Jun 30, 2018 | 100% |
| Brenden Q Dahl | Corporate Director | Feb 1, 2023 | |
| Nahs Holding Inc | 5% Or Greater Indirect Ownership Interest | Jun 30, 2018 | 100% |
| James Ellis-Sherinian | Corporate Director | Oct 1, 2020 | |
| Franklin Hughes | Corporate Officer | Aug 15, 2023 | |
| Corporate Director | Aug 15, 2023 | ||
| W-2 Managing Employee | Aug 15, 2023 | ||
| Operational/Managerial Control | Aug 15, 2023 | ||
| Victor G Lundquist | Corporate Officer | Mar 21, 2018 | |
| Marc Johnson | Corporate Officer | Nov 20, 2022 |
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Apple Valley Post-Acute Rehab
- Skilled Nursing Facility
- Sebastopol, CA
- NPI 1114902616
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
dba Brentwood Health Care Center
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1962487272
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
dba Fireside Convalescent Hospital
- Skilled Nursing Facility
- Santa Monica, CA
- NPI 1679558175
Nahs Holding Inc
-
dba Magnolia Rehabilitation & Nursing Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1467033142
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Linda Mar Care Center
- Skilled Nursing Facility
- Pacifica, CA
- NPI 1003891516
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
-
dba Lincoln Square Post Acute Care
- Skilled Nursing Facility
- Stockton, CA
- NPI 1780816777
Nahs Holding Inc
-
dba Terrace View Care Center
- Skilled Nursing Facility
- Fullerton, CA
- NPI 1740265248
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Villa Health Care Center
- Skilled Nursing Facility
- Riverside, CA
- NPI 1386629889
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Beacon Healthcare Center
- Skilled Nursing Facility
- West Covina, CA
- NPI 1245897446
Nahs Employee Stock Ownership Trust, Nahs Holding Inc, Nahs Southeast, Inc.
-
dba Rocky Point Care Center
- Skilled Nursing Facility
- Lakeport, CA
- NPI 1942508171
Nahs Employee Stock Ownership Trust, Nahs Holding Inc
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1419206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1689062838",
"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",
"fax_number": "951-683-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 CAROLINE CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062902",
"telephone_number": "951-683-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-22",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT05584G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Riverside Acupuncture
- Riverside Addiction Specialists, Inc.
- Riverside Adhc Inc (Health and Wellness Center)
- Riverside Anesthesia Partners Inc
- Riverside Artificial Limb & Brace Corp
- Riverside Childrens Speech Services Inc
- Riverside Chiropractic Center Mak PC
- Riverside Chiropractic Center Mak PC
- Riverside City College
- Riverside City Gym, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.