MESA GLEN CARE CENTER
NPI 1932215100
Skilled Nursing Facility in Glendora, CA

Active since August 21, 2006CLIA 05D0963450 · Waiver
1/5
Overall Rating
638 E COLORADO AVE, GLENDORA, CA 91740(626) 963-6091(626) 963-0653 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mesa Glen Care Center NPPES

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

MESA GLEN CARE CENTER (NPI 1932215100) is a healthcare organization registered as a skilled nursing facility in Glendora, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Jennifer Greenwell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1932215100
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMESA GLEN HOLDINGS LLC
Location Address638 E COLORADO AVEGlendora, CA 91740
Mailing Address16742 Orange WayFontana, CA 92335-3809 · (909) 987-7735 · Fax (909) 484-6809
Fax(626) 963-0653
Organization SubpartNo
Authorized OfficialJennifer GreenwellChief Financial Officer · (909) 987-7735
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 19, 2015
NPI 1932215100 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 · 950000026
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.
638 E COLORADO AVE, Glendora, CA 91740

Other Names 1

Other NameMesa Glen Care Center

Other Identifiers 2

MedicaidZZT05676GCA
Medicare OSCAR/certification555854CA

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 05D0963450

Mesa Glen Care Center · Glendora, CA
Active · expires Jul 28, 2027
CLIA Number05D0963450
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorWilliam Tsai
Laboratory Phone(626) 963-6091
Laboratory LocationMesa Glen Care Center638 East Colorado Blvd, Glendora, CA 91740
CLIA data matches this NPI record on: 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 Mesa Glen Care Center (CMS certification number 555854), from CMS Care Compare.

Mesa Glen Care Center

Nursing home · Glendora, CA
1/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number555854
Certified Beds96 beds93 residents per day on average
Medicare & Medicaid Participant SinceNovember 7, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
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.
212.67
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 2.46 · LPN 1.18 · RN 0.22
3.86 hrs per resident per day
Weekend Nurse Staffing
3.57 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
49%
Registered Nurse Turnover
40%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
26
Substantiated Complaints
36
Infection-Control Citations
2
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
638 E COLORADO AVE
GLENDORA, CA 91740
Occupational Therapy Assistant
638 E COLORADO AVE
GLENDORA, CA 91740

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 Mesa Glen Holdings LLC's NPI number?

The NPI number for Mesa Glen Holdings LLC is 1932215100. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is also known as Mesa Glen Care Center.

Where is Mesa Glen Holdings LLC located?

Mesa Glen Holdings LLC is located at 638 E Colorado Ave, Glendora, CA 91740. The listed phone number is (626) 963-6091.

What is Mesa Glen Holdings LLC's specialty?

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

Does Mesa Glen Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0963450) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mesa Glen Holdings LLC a Medicare-certified nursing home?

Yes. Mesa Glen Care Center is a Medicare-certified nursing home with 96 certified beds.

What quality rating does Mesa Glen Holdings LLC have?

CMS rates Mesa Glen Care Center 1 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 Mesa Glen Holdings LLC was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.