CASA BONITA CONVALESCENT HOSPITAL
NPI 1730269234
Skilled Nursing Facility in San Dimas, CA

Active since October 17, 2006CLIA 05D0564519 · Waiver
4/5
Overall Rating
535 E BONITA AVE, SAN DIMAS, CA 91773(909) 599-1248(909) 599-7178 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casa Bonita Convalescent Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASA BONITA CONVALESCENT HOSPITAL (NPI 1730269234) is a healthcare organization registered as a skilled nursing facility in San Dimas, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ira David Friedman, Manager, as its authorized official.

NPPES Registry Identity

NPI1730269234
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCASA BONITA CONVALESCENT HOSPITAL LLC
Location Address535 E BONITA AVESan Dimas, CA 91773-3124
Mailing Address4032 Wilshire Blvd Fl 6Los Angeles, CA 90010-3425 · (213) 389-6900 · Fax (909) 599-7178
Fax(909) 599-7178
Organization SubpartNo
Authorized OfficialIra David FriedmanManager · (213) 389-6900
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1730269234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 950000095
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
535 E BONITA AVE, San Dimas, CA 91773

Other Names 1

Doing Business AsCasa Bonita Convalescent Hospital

Other Identifiers 2

MedicaidLTC70110GCA
MedicaidLTC06291JCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0564519

Casa Bonita Convalescent Hospital · San Dimas, CA
Active · expires Aug 31, 2026
CLIA Number05D0564519
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSabah Kadhium
Laboratory Phone(909) 599-1248
Laboratory LocationCasa Bonita Convalescent Hospital535 E Bonita Ave, San Dimas, CA 91773
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Casa Bonita Convalescent Hospital (CMS certification number 056291), from CMS Care Compare.

Casa Bonita Convalescent Hospital

Nursing home · San Dimas, CA
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056291
Certified Beds106 beds95 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1972
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
93.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.5 · LPN 1.96 · RN 0.66
5.12 hrs per resident per day
Weekend Nurse Staffing
4.77 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.7%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
12
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casa Bonita Convalescent Hospital LLC's NPI number?

The NPI number for Casa Bonita Convalescent Hospital LLC is 1730269234. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Casa Bonita Convalescent Hospital.

Where is Casa Bonita Convalescent Hospital LLC located?

Casa Bonita Convalescent Hospital LLC is located at 535 E Bonita Ave, San Dimas, CA 91773. The listed phone number is (909) 599-1248.

What is Casa Bonita Convalescent Hospital LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Casa Bonita Convalescent Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0564519) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Casa Bonita Convalescent Hospital LLC a Medicare-certified nursing home?

Yes. Casa Bonita Convalescent Hospital is a Medicare-certified nursing home with 106 certified beds.

What quality rating does Casa Bonita Convalescent Hospital LLC have?

CMS rates Casa Bonita Convalescent Hospital 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Casa Bonita Convalescent Hospital LLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.