Active NPI
Riverside Equities LLC
- Skilled Nursing Facility
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 250000241
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891950267 | Medicaid | CA |
Other names 1
- Mission 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 |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 19, 1991
- Medicare certification status
- Active
- Certified beds
- 40
- Chain
- David Johnson
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 |
|---|---|---|---|
| 05D0575539 | Mission Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sun Mar Management Services | Operational/Managerial Control | Jun 10, 2008 | 100% |
| William C Presnell | Other | Jun 10, 2008 | |
| David a Johnson | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 20% |
| Frank a Johnson | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 20% |
| Corporate Officer | Jun 1, 2021 | ||
| Other | Jun 10, 2008 | ||
| Riverside Equities LLC | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 100% |
| Eli Marmur | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 20% |
| Thomas M Chambers | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 20% |
| Adrian Dehghanmanesh | Corporate Officer | Jul 1, 2021 | |
| Rodger Groves | W-2 Managing Employee | Jul 16, 2018 | 100% |
| Irving H Bauman | 5% Or Greater Direct Ownership Interest | Jun 10, 2008 | 20% |
| Other | 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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1720199664
5% Or Greater Direct Ownership Interest
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Riverside, CA
- NPI 1700186590
Sun Mar Management Services
-
- Skilled Nursing Facility
- El Monte, CA
- NPI 1942306865
Sun Mar Management Services
-
- Skilled Nursing Facility
- Fullerton, CA
- NPI 1205932126
Sun Mar Management Services
-
- Skilled Nursing Facility
- Monterey Park, CA
- NPI 1457457384
Sun Mar Management Services
-
- Skilled Nursing Facility
- Baldwin Park, CA
- NPI 1356506729
Sun Mar Management Services
-
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1386740207
Sun Mar Management Services
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
- Riverside County Superintendent of Schools
- Riverside County, Department of Mental Health
- Riverside Elite Advantage Care Home LLC
- Riverside Elite Imaging , Inc
- Riverside Emergency Physicians Medical Group
- Riverside Eye Partners a Professional Medical Corporation
- Riverside Eye Specialists Medical Group Inc.
- Riverside Eye, Ear, Nose,Throat Institute
- Riverside Family Acupuncture
- Riverside Family Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.