Centinela Grand, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

250000222 Issued in CA

Legal business name

CENTINELA GRAND, INC.

Practice address

2225 N. Perris Blvd.
Perris, CA 92571-4513

Phone

(951) 657-2135

Fax

(951) 657-0548

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Vicki P. Rollins, RN

Title

Vice-President

Phone

(951) 657-2135

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033431374. Details of each certification follow.

• CCN 056186 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056186

Legal name

CENTINELA GRAND, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1976

Last certification

Dec 12, 2024

Beds

109

Ownership / control type

Corporation

Most recent change of ownership

Dec 11, 2009

Organization structure

CorporationProprietary

Incorporated

Nov 1, 2007 in CA

Enrollment address

2225 N Perris Blvd
Perris, CA 92571-2580

Nursing home name

CENTINELA GRAND INC

Affiliated entity

ROLLINS-NELSON HEALTHCARE MANAGEMENT

Listed as

Centinela Grand IncCCN 056186 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

109100.5 residents per day on average

Chain

Rollins-Nelson Healthcare Management8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lakshman D Makandura, M.D

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1578614657

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1033431374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 N. PERRIS BLVD.",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714513",
            "telephone_number": "951-657-2135",
            "fax_number": "951-657-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N. PERRIS BLVD.",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714513",
            "telephone_number": "951-657-2135",
            "fax_number": "951-657-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTINELA GRAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "951-657-2135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250000222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Castro
• Lourdes Renee Castro
• Nora Alejandra Castro
• Amanda Catano, RCSN
• Methuzl Cayson, PHYSICAL THERAPIST A
• Esther Mary Cervantes, RADT: R1508990523
• Isabel Cervantes
• Valeria Cervantes
• Kimberly Michelle Chagolla, SLPA, B.A.
• Christina Chambers

• Skilled Nursing Facility in Perris, CA
• Providers in Perris, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.

Verify at the official NPI Registry.