Organization Active NPI

Mayflower Care Center LLC

  • Skilled Nursing Facility
  • El Monte, CA
National Provider Identifier
1861864910
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAYFLOWER CARE CENTER LLC
Doing business as
Mayflower Care Center
Practice address
5043 Peck Rd
El Monte, CA 91732-1423
Phone
(626) 579-1602
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
David Friedman
Title
Managing Member
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5043 Peck Rd
El Monte, CA 91732-1423

Mailing address

4032 Wilshire Blvd FL 6
Los Angeles, CA 90010-3425
Phone (213) 389-6900

Other identifiers 1

IdentifierTypeStateIssuer
1861864910MedicaidCA

Other names 1

  • Mayflower 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
O20160127000375 CA Part A Provider - Skilled Nursing Facility 6901109867 Practice locations: El Monte, CA

Skilled nursing facility certification: CCN 555374

Legal name
MAYFLOWER CARE CENTER LLC
Doing business as
MAYFLOWER CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 8, 1989
Last certification
Jul 5, 2024
Beds
59
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
5043 Peck Rd
El Monte, CA 91732-1423
Nursing home name
MAYFLOWER CARE CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mayflower Care CenterCCN 555374 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 8, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5957.6 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain

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
05D0562988Mayflower Care Center5043 N Peck Rd, El Monte, CA 91732Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
Aaron Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Adp of the SNF Jun 30, 2023
Libby Lehmann Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Rachel Klavan Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Mary Faith Banog Individual Operational/Managerial Control Oct 22, 2025
Adp of the SNF Oct 22, 2025
The Klavan Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Joshua Klavan Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Ira David Friedman Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 30, 2023
Individual Adp of the SNF Jun 30, 2023
Aaron Friedman Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Noel Estandarte Individual Operational/Managerial Control Jun 12, 2023
Adp of the SNF Jun 12, 2023
Yan P Zhang Individual Operational/Managerial Control Jan 12, 2016
Adp of the SNF Jan 12, 2016
Libby Friedman Lehmann Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ruchel Friedman Klavan Group a Business Assets Trust Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
FLT Acquisitions LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Encino, CA Corporation, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ira David Friedman Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 20%
Corporate OfficerManager Nov 1, 2015 20%
Zaid Pervaiz Individual Adp of the SNF Jan 1, 2013
Organization, Portland, OR Corporation, Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023

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 1

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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1861864910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 PECK RD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321423",
            "telephone_number": "626-579-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-06-14",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861864910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayflower Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.