Organization Active NPI

Foothill Nursing Company Partnership

Doing business as Glendora Canyon Transitional Care Unit

  • Skilled Nursing Facility
  • Glendora, CA
National Provider Identifier
1871670117
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000120 Issued in CA
Legal business name
FOOTHILL NURSING COMPANY PARTNERSHIP
Doing business as
Glendora Canyon Transitional Care Unit
Practice address
401 W Ada Ave
Glendora, CA 91741-4241
Phone
(626) 335-9810
Fax
(626) 963-0720
NPI assigned
Nov 1, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Abe Bak
Title
Manager
Phone
(818) 853-5760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000120 CA Primary

Addresses

Primary practice location

401 W Ada Ave
Glendora, CA 91741-4241

Mailing address

401 W Ada Ave
Glendora, CA 91741-4241
Phone (626) 335-9810

Other identifiers 1

IdentifierTypeStateIssuer
LTC55416FMedicaidCA

Other names 1

  • Glendora Canyon Transitional Care Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091221000469 CA Part A Provider - Skilled Nursing Facility 4981744034 Practice locations: Glendora, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871670117. Details of each certification follow.

Skilled nursing facility certification: CCN 555416

Legal name
FOOTHILL NURSING COMPANY PARTNERSHIP
Doing business as
GLENDORA CANYON TRANSITIONAL CARE UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 13, 1990
Last certification
Nov 8, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
PartnershipProprietary
Incorporated
Feb 1, 1990 in CA
Enrollment address
401 W Ada Ave
Glendora, CA 91741-4241
Nursing home name
GLENDORA CANYON TRANSITIONAL CARE UNIT
Affiliated entity
ABRAHAM BAK & MENACHEM GASTWIRTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glendora Canyon Transitional Care UnitCCN 555416 · 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
Apr 13, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.4 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
05D0887139Glendora Canyon Transitional Care Unit401 West Ada Avenue, Glendora, CA 91741Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Individual Indirect Ownership Interest May 4, 2018 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
David L. Gunnell Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA Indirect Ownership Interest Jan 1, 2018 25%
Individual Indirect Ownership Interest May 4, 2018 2.08%
Rachel Deena Bak Individual Indirect Ownership Interest Jan 1, 2018 12.5%
Bagz Holdings, LLC Organization, North Hollywood, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2018 50%
Krunal J Mehta Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Individual Indirect Ownership Interest May 4, 2018 2.08%
MCP GV, LLC Organization, Valley Village, CA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2018 12.5%
Kenneth Lehmann Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2018 25%
Abraham Bak Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2018 12.5%
Operational/Managerial Control Jan 1, 2018
Adp of the SNF Jan 1, 2018
Individual Indirect Ownership Interest May 4, 2018 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
Individual Indirect Ownership Interest May 4, 2018 2.08%
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
Individual Indirect Ownership Interest May 4, 2018 2.08%
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem Organization, Los Angeles, CA Indirect Ownership Interest May 4, 2018 2.08%
401 West Ada Avenue, LLC Organization, North Hollywood, CA LLC, Holding company, Owned by another organization or individual General Partnership Interest Jan 1, 2018 50%
Organization, Glendora, CA Corporation Adp of the SNF Dec 22, 1966
Helene G Mayer Individual Indirect Ownership Interest Jan 1, 2018 12.5%
Menachem Gastwirth Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2018 25%
Corporate OfficerManager Jan 1, 2018
Operational/Managerial ControlManager Jan 1, 2018
Adp of the SNF Jan 1, 2018
Foothill Rehab Center, LLC Organization, North Hollywood, CA LLC, Holding company, Owned by another organization or individual General Partnership Interest Jan 1, 2018 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1871670117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W ADA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414241",
            "telephone_number": "626-335-9810",
            "fax_number": "626-963-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ADA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414241",
            "telephone_number": "626-335-9810",
            "fax_number": "626-963-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL NURSING COMPANY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-853-5760"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55416F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendora Canyon Transitional Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.