Active NPI
Foothill Nursing Company Partnership
Doing business as Glendora Canyon Transitional Care Unit
- Skilled Nursing Facility
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 950000120
- 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, 2024
- 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
- Abe Bak
- Title
- Manager
- Phone
- (818) 853-5760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55416F | Medicaid | CA |
Other names 1
- Glendora Canyon Transitional Care Unit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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 Unit
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 13, 1990
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Abraham Bak & Menachem Gastwirth
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
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 |
|---|---|---|---|
| 05D0887139 | Glendora Canyon Transitional Care Unit | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| Mgaz Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| David L. Gunnell | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Aug 30, 2021 | ||
| Abe and Rachel Bak Family Trust | Indirect Ownership Interest | Jan 1, 2018 | 25% |
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| Rachel Deena Bak | Indirect Ownership Interest | Jan 1, 2018 | 12.5% |
| Bagz Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 50% |
| Krunal J Mehta | Operational/Managerial Control | Aug 30, 2021 | |
| Adp of the SNF | Aug 30, 2021 | ||
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| MCP GV, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 12.5% |
| Kenneth Lehmann | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 25% |
| Abraham Bak | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 12.5% |
| Operational/Managerial Control | Jan 1, 2018 | ||
| Adp of the SNF | Jan 1, 2018 | ||
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| Abak Consulting LLC | Adp of the SNF | Dec 27, 2021 | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| Indirect Ownership Interest | May 4, 2018 | 2.08% | |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem | Indirect Ownership Interest | May 4, 2018 | 2.08% |
| 401 West Ada Avenue, LLC | General Partnership Interest | Jan 1, 2018 | 50% |
| Adp of the SNF | Dec 22, 1966 | ||
| Helene G Mayer | Indirect Ownership Interest | Jan 1, 2018 | 12.5% |
| Menachem Gastwirth | 5% Or Greater Indirect Ownership Interest | Jan 1, 2018 | 25% |
| Corporate Officer | Jan 1, 2018 | ||
| Operational/Managerial Control | Jan 1, 2018 | ||
| Adp of the SNF | Jan 1, 2018 | ||
| Foothill Rehab Center, LLC | 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.
-
- Family Medicine Physician
- Glendora, CA
- NPI 1982867602
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Big Oak Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Elmer, NJ
- NPI 1083394472
Bagz Holdings, LLC
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
- Stephen Bede Flores Jr.
- Gabriela Fonteyn, MSW
- Foothill Cosmetic Surgery Center
- Foothill Dermatology Medical Center
- Foothill Family Practice Medical Group Inc
- Foothill Operations Inc. (Healthcare Equipment Center of SGV)
- Foothill Rehab Center, LLC
- Foothills Gastroenterology Medical Associates Inc
- Foothills Neurocare, a Psychological Corporation (Foothills Neurocare)
- Forever Smiles Pediatric Dentistry and Orthodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.