Organization Active NPI

Sonora SNF Operations LLC

  • Skilled Nursing Facility
  • Sonora, CA
National Provider Identifier
1851004170
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SONORA SNF OPERATIONS LLC
Practice address
19929 Greenley Rd
Sonora, CA 95370-5996
Phone
(917) 251-2850
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Shimon Spielman
Title
Cfo
Phone
(917) 251-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

19929 Greenley Rd
Sonora, CA 95370-5996

Mailing address

1777 Avenue of the States Ste 102
Lakewood, NJ 08701-4779
Phone (917) 251-2850

Other names 1

  • Golden Sonora 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
O20230720004041 CA Part A Provider - Skilled Nursing Facility 6709246895 Practice locations: Sonora, CA

Skilled nursing facility certification: CCN 555736

Legal name
SONORA SNF OPERATIONS LLC
Doing business as
GOLDEN SONORA CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 1999
Last certification
Jun 20, 2024
Beds
210
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Evergreen Healthcare
Organization structure
LLCProprietary
Incorporated
Sep 14, 2022 in CA
Enrollment address
19929 Greenley Rd
Sonora, CA 95370-5996
Nursing home name
GOLDEN SONORA CARE CENTER
Affiliated entity
GOLDEN SNF OPERATIONS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Golden Sonora Care CenterCCN 555736
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 15, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
210186.7 residents per day on average
Chain
Golden SNF Operations7 facilities in the chain
Penalties (3 years)
2Fines totaling $56,843

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
05D0960040Golden Sonora Care Center19929 Greenley Rd, Sonora, CA 95370Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

19929 Greenley Rd
Sonora, CA 95370
Phone (209) 533-2500

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Daniel C Meador Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Couve Healthcare Consulting LLC Organization, Vancouver, WA LLC, Management services company, Consulting firm Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 15, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 2.52%
CW Cafive Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24.99%
Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 4.99%
Sonora Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 4.99%
CH Cafive Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24.99%
Adp of the SNF Mar 1, 2023
Individual Indirect Ownership Interest Mar 1, 2023 2%
Individual Indirect Ownership Interest Mar 1, 2023 2.52%
Sonora Opco Manager LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Apr 15, 2025
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 2%
Sonora SNF Consulting LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Mar 1, 2023
Adp of the SNF Apr 15, 2025
Individual Indirect Ownership Interest Mar 1, 2023 3%
Veritas Health Solutions LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Apr 15, 2025
Organization, Lakewood, NJ LLC Adp of the SNF Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 3%
Steven Earl Individual Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyRegional VP of Operations Mar 1, 2023
Adp of the SNF Mar 1, 2023
Sonora SNF Realty LLC Organization, Sonora, CA LLC Adp of the SNF Apr 15, 2025
Individual Adp of the SNF Mar 1, 2023
Indirect Ownership Interest Mar 1, 2023 4.99%
Individual Indirect Ownership Interest Mar 1, 2023 2.52%
Sonora SNF Operations LLC Organization, Sonora, CA LLC Operational/Managerial Control Mar 1, 2023
Adp of the SNF Apr 15, 2025
Chava Wolofsky Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24.99%
Adp of the SNF Mar 1, 2023
Yitzchok Yenowitz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 30%
Corporate OfficerCeo Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24.99%
Adp of the SNF Mar 1, 2023
Genesis Leininger Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Witzcorp LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 30%
Adp of the SNF Mar 1, 2023
Karen Barias Individual Operational/Managerial Control Mar 1, 2023
Managing Control - Governing BodyRegional Director of Operations Mar 1, 2023
Adp of the SNF Mar 1, 2023
Shimon Spielman Individual Corporate OfficerCfo Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 2.52%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 4.99%

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 51

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

View all 51

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": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1851004170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014779",
            "telephone_number": "917-251-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19929 GREENLEY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705996",
            "telephone_number": "917-251-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "SPIELMAN",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-251-2850"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Sonora Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.