NPIMap

Organization Active NPI

Inland Valley Partners LLC

Doing business as Inland Valley Care & Rehab Center

  • Skilled Nursing Facility
  • Pomona, CA
National Provider Identifier
1841232279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
INLAND VALLEY PARTNERS LLC
Doing business as
Inland Valley Care & Rehab Center
Practice address
250 W Artesia St
Pomona, CA 91768-1807
Phone
(909) 623-7100
Fax
(909) 620-7787
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elizabeth J. Casey
Title
Cfo
Phone
(805) 497-7330

Specialties & licenses 1

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

Addresses

Primary practice location

250 W Artesia St
Pomona, CA 91768-1807

Mailing address

3075 E Thousand Oaks Blvd
Westlake Village, CA 91362-3402
Phone (805) 497-7330

Other identifiers 2

IdentifierTypeStateIssuer
LTC70080GMedicaidCA
ZZT06431KMedicaidCA

Other names 1

  • Inland Valley Care & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000612 CA Part A Provider - Skilled Nursing Facility 0547173379 Practice locations: Pomona, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841232279. Details of each certification follow.

Skilled nursing facility certification: CCN 056431

Legal name
INLAND VALLEY PARTNERS LLC
Doing business as
INLAND VALLEY CARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1979
Last certification
Aug 30, 2024
Beds
221
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
250 W Artesia St
Pomona, CA 91768-1807
Nursing home name
INLAND VALLEY CARE AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Inland Valley Care and Rehabilitation CenterCCN 056431 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
221218.7 residents per day on average
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $134,673

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
05D0564390Inland Valley Care and Rehabilitation Center250 West Artesia Street, Pomona, CA 91768Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Renew Health Consulting Services LLC Organization, Monrovia, CA LLC, Management services company, For-profit Operational/Managerial Control Nov 29, 2022
Adp of the SNF Nov 29, 2022
Manijeh Forouzan Individual Corporate OfficerAdministrator Sep 3, 2024
Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Lydiette Alexandre Individual Operational/Managerial Control Mar 30, 2026
Adp of the SNF Mar 30, 2026
Phillip L Chase Individual Corporate OfficerManager Oct 1, 2003 50%
Operational/Managerial Control Jan 30, 2024
Adp of the SNF Jan 30, 2024
Organization, Newport Beach, CA LLC, For-profit Adp of the SNF Nov 18, 2025
Vatsala Sharma Individual Operational/Managerial Control Nov 29, 2022
Adp of the SNF Nov 29, 2022
Gateways Rehabilitation Center II LLC Organization, Simi Valley, CA LLC, For-profit Adp of the SNF Nov 29, 2022
Roberts T Nelson Individual 5% Or Greater Direct Ownership Interest Oct 1, 2003 25%
Corporate OfficerBoard Member Oct 1, 2003 25%
Operational/Managerial ControlBoard Member Oct 1, 2003 25%
The Phillip Chase Irrevocable Trust Organization, Monrovia, CA For-profit 5% Or Greater Direct Ownership Interest Jan 30, 2024 100%
Hassan a Chahine Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

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 14

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

View all 14

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841232279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E THOUSAND OAKS BLVD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623402",
            "telephone_number": "805-497-7330",
            "fax_number": "805-497-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W ARTESIA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681807",
            "telephone_number": "909-623-7100",
            "fax_number": "909-620-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-497-7330"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70080G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06431K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Valley Care & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.