Active NPI
Mayflower Care Center LLC
- Skilled Nursing Facility
- El Monte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861864910 | Medicaid | CA |
Other names 1
- Mayflower 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 |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 8, 1989
- Medicare certification status
- Active
- Certified beds
- 59
- Chain
- Longwood Management Corporation
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 |
|---|---|---|---|
| 05D0562988 | Mayflower Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Aaron Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Libby Lehmann | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Rachel Klavan | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Mary Faith Banog | Operational/Managerial Control | Oct 22, 2025 | |
| Adp of the SNF | Oct 22, 2025 | ||
| The Klavan Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Joshua Klavan | Operational/Managerial Control | Dec 1, 2022 | |
| Adp of the SNF | Nov 16, 1986 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Ira David Friedman Group a Business Assets Trust | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Adp of the SNF | Jun 30, 2023 | ||
| Aaron Friedman Group a Business Assets Trust | Adp of the SNF | Jun 30, 2023 | |
| Noel Estandarte | Operational/Managerial Control | Jun 12, 2023 | |
| Adp of the SNF | Jun 12, 2023 | ||
| Yan P Zhang | Operational/Managerial Control | Jan 12, 2016 | |
| Adp of the SNF | Jan 12, 2016 | ||
| Libby Friedman Lehmann Group a Business Assets Trust | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Longwood Management LLC | Adp of the SNF | Jan 1, 2023 | |
| The Tzippy Friedman Notis 1990 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Ruchel Friedman Klavan Group a Business Assets Trust | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Ira D Friedman 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Adp of the SNF | Jun 30, 2023 | ||
| Lehmann Family 1991 Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| FLT Acquisitions LLC | Adp of the SNF | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Friedman Family Trust | 5% Or Greater Direct Ownership Interest | Jun 30, 2023 | 20% |
| Ira David Friedman | 5% Or Greater Indirect Ownership Interest | Jun 30, 2023 | 20% |
| Corporate Officer | Nov 1, 2015 | 20% | |
| Zaid Pervaiz | Adp of the SNF | Jan 1, 2013 | |
| Adp of the SNF | Jun 30, 2023 | ||
| 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.
-
- Internal Medicine Physician
- El Monte, CA
- NPI 1306884317
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sherman Oaks, CA
- NPI 1316018310
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1700280328
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1568544781
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Burbank, CA
- NPI 1316019482
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Beaumont, CA
- NPI 1376963785
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Burbank, CA
- NPI 1518036060
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Canoga Park, CA
- NPI 1487734935
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Bellflower, CA
- NPI 1407373350
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1558441022
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- N Hollywood, CA
- NPI 1790854180
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1639257165
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
-
- Skilled Nursing Facility
- Covina, CA
- NPI 1992885958
Friedman Family Trust, Ira D Friedman 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.