Active NPI
Sonora SNF Operations LLC
- Skilled Nursing Facility
- Sonora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 15, 1999
- Medicare certification status
- Active
- Certified beds
- 210
- Chain
- Golden SNF Operations
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0960040 | Golden Sonora Care Center | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel C Meador | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Couve Healthcare Consulting LLC | Operational/Managerial Control | Aug 31, 2023 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 2.52% | |
| CW Cafive Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 24.99% |
| Adp of the SNF | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 4.99% | |
| Sonora Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2023 | 100% |
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 4.99% | |
| CH Cafive Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 24.99% |
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 2% | |
| Indirect Ownership Interest | Mar 1, 2023 | 2.52% | |
| Sonora Opco Manager LLC | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 2% | |
| Sonora SNF Consulting LLC | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 3% | |
| Veritas Health Solutions LLC | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 3% | |
| Steven Earl | Operational/Managerial Control | Mar 1, 2023 | |
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Sonora SNF Realty LLC | Adp of the SNF | Apr 15, 2025 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 4.99% | |
| Indirect Ownership Interest | Mar 1, 2023 | 2.52% | |
| Sonora SNF Operations LLC | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Apr 15, 2025 | ||
| Chava Wolofsky | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 24.99% |
| Adp of the SNF | Mar 1, 2023 | ||
| Yitzchok Yenowitz | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 30% |
| Corporate Officer | Mar 1, 2023 | ||
| Operational/Managerial Control | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Yisroel E Herzka | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 24.99% |
| Adp of the SNF | Mar 1, 2023 | ||
| Genesis Leininger | Operational/Managerial Control | Mar 1, 2023 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Witzcorp LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2023 | 30% |
| Adp of the SNF | Mar 1, 2023 | ||
| Karen Barias | Operational/Managerial Control | Mar 1, 2023 | |
| Managing Control - Governing Body | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Shimon Spielman | Corporate Officer | Mar 1, 2023 | |
| Operational/Managerial Control | Mar 1, 2023 | ||
| Adp of the SNF | Mar 1, 2023 | ||
| Indirect Ownership Interest | Mar 1, 2023 | 2.52% | |
| 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.
-
- Internal Medicine Physician
- Sonora, CA
- NPI 1619925989
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 51
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Daly City, CA
- NPI 1457926065
Couve Healthcare Consulting LLC, Veritas Health Solutions LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- Daly City, CA
- NPI 1447825054
Couve Healthcare Consulting LLC, Veritas Health Solutions LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- Merced, CA
- NPI 1326758566
CH Cafive Holdings LLC, Couve Healthcare Consulting LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- Modesto, CA
- NPI 1821708173
CH Cafive Holdings LLC, Couve Healthcare Consulting LLC, Veritas Health Solutions LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- San Andreas, CA
- NPI 1669182804
CH Cafive Holdings LLC, Couve Healthcare Consulting LLC, Veritas Health Solutions LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1033795315
Couve Healthcare Consulting LLC, Veritas Health Solutions LLC
-
- Skilled Nursing Facility
- Longview, WA
- NPI 1528772787
Couve Healthcare Consulting LLC
-
- Skilled Nursing Facility
- Billings, MT
- NPI 1760196182
Couve Healthcare Consulting LLC
-
- Skilled Nursing Facility
- Colville, WA
- NPI 1972217131
Couve Healthcare Consulting LLC
-
- Skilled Nursing Facility
- Auburn, WA
- NPI 1679287841
Couve Healthcare Consulting LLC
-
- Nursing Facility/Intermediate Care Facility
- Las Vegas, NV
- NPI 1083356752
Couve Healthcare Consulting LLC, Veritas Health Solutions LLC, Witzcorp LLC
-
- Skilled Nursing Facility
- Enumclaw, WA
- NPI 1821702093
Couve Healthcare Consulting LLC
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
- Sonora Pharmacy
- Sonora Primary Care
- Sonora Pulmonary and Critical Care Medicine
- Sonora Pulmonary and Critical Care Medicine, Professional Corporation
- Sonora Smiles Corp
- Sonora Surgery Center Inc
- Sonora Union High School District
- Lori Beth Sostock, MD
- Sound Inpatient Physicians Medical Group Inc
- John F Sousa, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.