Organization Active NPI

Riverside Equities LLC

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1891950267
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000241 Issued in CA
Legal business name
RIVERSIDE EQUITIES LLC
Practice address
8487 Magnolia Ave
Riverside, CA 92504-3222
Phone
(951) 688-2222
Fax
(951) 688-7659
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Jeanne Nelson
Title
Ar Manager
Phone
(714) 577-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000241 CA Primary

Addresses

Primary practice location

8487 Magnolia Ave
Riverside, CA 92504-3222

Mailing address

3050 Saturn St
Ste 201
Brea, CA 92821-6221
Phone (714) 577-3880

Other identifiers 1

IdentifierTypeStateIssuer
1891950267MedicaidCA

Other names 1

  • Mission 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
O20081218000688 CA Part A Provider - Skilled Nursing Facility 4587726906 Practice locations: Riverside, CA

Skilled nursing facility certification: CCN 055542

Legal name
RIVERSIDE EQUITIES LLC
Doing business as
MISSION CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 19, 1991
Last certification
Feb 13, 2025
Beds
40
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 10, 2008 in CA
Enrollment address
8487 Magnolia Ave
Riverside, CA 92504-3222
Nursing home name
MISSION CARE CENTER
Affiliated entity
DAVID JOHNSON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mission Care CenterCCN 055542
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 19, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4039.2 residents per day on average
Chain
David Johnson48 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
05D0575539Mission Care Center8487 Magnolia Ave, Riverside, CA 92504Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Sun Mar Management Services Organization, Brea, CA Corporation Operational/Managerial Control Jun 10, 2008 100%
William C Presnell Individual OtherManaging Member of LLC Jun 10, 2008
David a Johnson Individual 5% Or Greater Direct Ownership Interest Jun 10, 2008 20%
Frank a Johnson Individual 5% Or Greater Direct Ownership Interest Jun 10, 2008 20%
Corporate OfficerCeo/Chairman O Fthe Board Jun 1, 2021
OtherManaging Member of LLC Jun 10, 2008
Riverside Equities LLC Organization, Brea, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 10, 2008 100%
Eli Marmur Individual 5% Or Greater Direct Ownership Interest Jun 10, 2008 20%
Thomas M Chambers Individual 5% Or Greater Direct Ownership Interest Jun 10, 2008 20%
Adrian Dehghanmanesh Individual Corporate OfficerCfo Jul 1, 2021
Rodger Groves Individual W-2 Managing EmployeeNursing Home Administrator Jul 16, 2018 100%
Irving H Bauman Individual 5% Or Greater Direct Ownership Interest Jun 10, 2008 20%
OtherManaging Member of LLC Jun 10, 2008

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 6

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

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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1891950267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SATURN ST",
            "address_2": "STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216221",
            "telephone_number": "714-577-3880",
            "fax_number": "714-577-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043222",
            "telephone_number": "951-688-2222",
            "fax_number": "951-688-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE EQUITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891950267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.