Organization Active NPI

Ceylon Holdings LLC

  • Skilled Nursing Facility
  • Hayward, CA
National Provider Identifier
1073372207
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CEYLON HOLDINGS LLC
Practice address
442 Sunset Blvd
Hayward, CA 94541-3832
Phone
(510) 582-8311
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Robert Brandi
Title
Owner
Phone
(408) 320-9897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

442 Sunset Blvd
Hayward, CA 94541-3832

Mailing address

365 E Campbell Ave
Campbell, CA 95008-2013

Other names 1

  • Golden Harbor Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251120002189 CA Part A Provider - Skilled Nursing Facility 3678065372 Practice locations: Hayward, CA

Skilled nursing facility certification: CCN 056471

Legal name
CEYLON HOLDINGS LLC
Doing business as
GOLDEN HARBOR HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 18, 1975
Last certification
May 17, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Spyglass Healthcare
Most recent change of ownership
Jan 16, 2025
Organization structure
LLCProprietary
Enrollment address
442 Sunset Blvd
Hayward, CA 94541-3832
Nursing home name
GOLDEN HARBOR HEALTHCARE CENTER
Affiliated entity
SPYGLASS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Golden Harbor Healthcare CenterCCN 056471
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 18, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.9 residents per day on average
Chain
Spyglass Healthcare9 facilities in the chain
Penalties (3 years)
2Fines totaling $27,322

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
05D0643741Golden Harbor Healthcare Center442 Sunset Blvd, Hayward, CA 94541Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Linda Blue Barton Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Sanjay Gupta Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Spyglass Healthcare LLC Organization, Campbell, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 16, 2025 50%
Adp of the SNF Jul 1, 2025
Brady O'Shea Individual 5% Or Greater Indirect Ownership Interest Jan 16, 2025 5%
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Individual Direct Ownership Interest Jan 16, 2025 4.99%
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Nollie Vismonte Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Shane McCormack Individual 5% Or Greater Indirect Ownership Interest Jan 16, 2025 5%
Indirect Ownership Interest Jan 16, 2025 5%
Sabiniano Mariano Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Victor Macaspac Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Hunter Mitchell Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Robert Brandi Individual 5% Or Greater Indirect Ownership Interest Jan 16, 2025 20%
Corporate OfficerManager Jan 16, 2025
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Lina Ventocilla Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Ryan C McCormack Individual 5% Or Greater Indirect Ownership Interest Jan 16, 2025 20%
Corporate OfficerManager Jan 16, 2025
Organization, North Hollywood, CA Direct Ownership Interest Jan 16, 2025 4.5%
Dikko Fred Duatin Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Avishai Oscherowitz Individual Corporate OfficerManager Jan 16, 2025
Cami Ann Pascua Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Individual Direct Ownership Interest Jan 16, 2025 4.5%
Joel Sigua Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025
Mandakini Hersh Patel Individual Operational/Managerial Control Jan 16, 2025
Adp of the SNF Jan 16, 2025

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 9

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

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1073372207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E CAMPBELL AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 SUNSET BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413832",
            "telephone_number": "510-582-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEYLON HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "BRANDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-320-9897"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Harbor Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.