Organization Active NPI

Covina Care Center, Inc.

  • Skilled Nursing Facility
  • Covina, CA
National Provider Identifier
1992885958
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
950000047 Issued in CA
Legal business name
COVINA CARE CENTER, INC.
Practice address
261 W Badillo St
Covina, CA 91723-1907
Phone
(626) 967-3874
Fax
(626) 967-1443
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
David Friedman
Title
President
Phone
(213) 389-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 950000047 CA Primary

Addresses

Primary practice location

261 W Badillo St
Covina, CA 91723-1907

Mailing address

261 W Badillo St
Covina, CA 91723-1907
Phone (626) 967-3874

Other identifiers 2

IdentifierTypeStateIssuer
ZZT05449HMedicaidCA
LTC70149FMedicaidCA

Other names 1

  • Covina Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030522000059 CA Part A Provider - Skilled Nursing Facility 7911817374 Practice locations: Covina, CA

Skilled nursing facility certification: CCN 055449

Legal name
COVINA CARE CENTER, INC.
Doing business as
COVINA REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1971
Last certification
Apr 19, 2025
Beds
99
Ownership / control type
Individual
Most recent change of ownership
May 1, 2003
Organization structure
CorporationProprietary
Enrollment address
261 W Badillo St
Covina, CA 91723-1907
Nursing home name
COVINA REHABILITATION CENTER
Affiliated entity
LONGWOOD MANAGEMENT CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Covina Rehabilitation CenterCCN 055449
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Mar 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.4 residents per day on average
Chain
Longwood Management Corporation38 facilities in the chain
Penalties (3 years)
4Fines totaling $29,228

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
05D0879523Covina Rehabilitation Center261 W Badillo St, Covina, CA 91723Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Aaron Friedman Individual Trustee of the SNF Jun 30, 2023
Adp of the SNF Jun 30, 2023
Libby Lehmann Individual Trustee of the SNF Jun 30, 2023
Rachel Klavan Individual Corporate DirectorDirector Jun 30, 2023 20%
Trustee of the SNF Jun 30, 2023
Cliftonlarsonallen LLP Organization, Los Angeles, CA For-profit Adp of the SNF Jun 30, 2023
Lehmann Family 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
The Klavan Family Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Organization, Portland, OR For-profit Adp of the SNF Jun 30, 2023
Joshua Klavan Individual Corporate OfficerVice President/Secretary Dec 1, 2022
Operational/Managerial Control Dec 1, 2022
Adp of the SNF Nov 16, 1986
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Shmuel Notis Individual Trustee of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Investment firm, For-profit Adp of the SNF Jun 30, 2023
Longwood Management LLC Organization, Los Angeles, CA LLC, For-profit, Chain home office Adp of the SNF Jan 1, 2023
The Tzippy Friedman Notis 1990 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Lizet Carrillo Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Shery Nessim Individual Operational/Managerial Control Oct 22, 2025
Adp of the SNF Oct 22, 2025
Organization, Chicago, IL LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Ira D Friedman 1991 Trust Organization, Los Angeles, CA For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Individual Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Chicago, IL LLC, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Organization, Portland, OR LLC, Holding company, For-profit Adp of the SNF Jun 30, 2023
Friedman Family Trust Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jun 30, 2023 20%
Ira David Friedman Individual Corporate OfficerPresident Jun 30, 2023
Corporate DirectorPresident Jun 30, 2023
Operational/Managerial Control Jun 30, 2023
Trustee of the SNF Jun 30, 2025
Adp of the SNF Jun 30, 2023
Zaid Pervaiz Individual Adp of the SNF Jun 30, 2025
Organization, Placentia, CA Corporation, For-profit Adp of the SNF Jan 1, 2026

Facilities with the same owner 24

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

View all 24

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1992885958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-967-3874",
            "fax_number": "626-967-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231907",
            "telephone_number": "626-967-3874",
            "fax_number": "626-967-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05449H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70149F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covina Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.