NPIMap

Organization Active NPI

Rio Hondo Subacute & Nursing Center, LLC

Doing business as Rio Hondo Subacute & Nursing Center

  • Skilled Nursing Facility
  • Montebello, CA
National Provider Identifier
1902896301
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000143 Issued in CA
Legal business name
RIO HONDO SUBACUTE & NURSING CENTER, LLC
Doing business as
Rio Hondo Subacute & Nursing Center
Practice address
273 E. Beverly Blvd.
Montebello, CA 90640-3775
Phone
(323) 724-5100
Fax
(323) 724-2183
NPI assigned
Oct 26, 2005
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000143 CA Primary

Addresses

Primary practice location

273 E. Beverly Blvd.
Montebello, CA 90640-3775

Mailing address

273 E Beverly Blvd
Montebello, CA 90640-3775
Phone (323) 724-5100

Other identifiers 2

IdentifierTypeStateIssuer
ZZT06041KMedicaidCA
LTC70093FMedicaidCA

Other names 1

  • Rio Hondo Subacute & Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031008000036 CA Part A Provider - Skilled Nursing Facility 9830001718 Practice locations: Montebello, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902896301. Details of each certification follow.

Skilled nursing facility certification: CCN 056487

Legal name
RIO HONDO SUBACUTE & NURSING CENTER LLC
Doing business as
RIO HONDO SUBACUTE AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 9, 1985
Last certification
Mar 1, 2025
Beds
200
Ownership / control type
Limited Liability Corporation
Multi-facility organization
New Gen
Organization structure
LLCProprietary
Enrollment address
273 E Beverly Blvd
Montebello, CA 90640-3775
Nursing home name
RIO HONDO SUBACUTE & NURSING CENTER
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rio Hondo Subacute & Nursing CenterCCN 056487 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 9, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200144.5 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain
Special focus status
SFF
Penalties (3 years)
12Fines totaling $411,481

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
05D0879321Rio Hondo Subacute and Nursing Center273 Beverly Blvd, Montebello, CA 90640Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 31

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

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
HCCF Management Group XI LLC Organization, Alpharetta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 5.4%
Gen Operations I LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 2, 2015 50%
Bold Quail Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Powerback Rehabilitation LLC Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Jun 1, 2020
Pico Ar LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Gen Operations II LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
BQ Operations Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Jessica Fung Individual Operational/Managerial Control Oct 23, 2024
Adp of the SNF Oct 23, 2024
FC-Gen Operations Investment LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Newgen LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Rahul Dhawan Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC, For-profit Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2020
GHC JV Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 2.6%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2020
Pamela Shaw Individual Operational/Managerial Control Jun 1, 2020
Adp of the SNF Jun 1, 2020
Genesis Healthcare LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Individual Adp of the SNF Aug 8, 2025
Sun Healthcare Group Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 35.25%
Gen BQ JV Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 2.7%
Arnold M Whitman Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 5.4%
Genesis Healthcare Inc Organization, Kennett Square, PA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2016 50%
Zac Properties XI LLC Organization, Philadelphia, PA For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2020 3.8%
Steven E Fishman Individual Indirect Ownership Interest Jun 1, 2020 3.8%
Marie Dor-Oscar Individual Operational/Managerial Control Oct 18, 2024
Adp of the SNF Oct 18, 2024
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 25%
Managing Control - Governing BodyPresident Aug 15, 2023
Individual Adp of the SNF Aug 8, 2025
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%
Genesis Holdings LLC Organization, Kennett Square, PA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 50%

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 211

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

View all 211

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1902896301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 E BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403775",
            "telephone_number": "323-724-5100",
            "fax_number": "323-724-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E. BEVERLY BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403775",
            "telephone_number": "323-724-5100",
            "fax_number": "323-724-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO HONDO SUBACUTE & NURSING CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06041K",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70093F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Hondo Subacute & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.