Active NPI
Ceylon Holdings LLC
- Skilled Nursing Facility
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 18, 1975
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Spyglass Healthcare
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0643741 | Golden Harbor Healthcare Center | Certificate of waiver | May 7, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Linda Blue Barton | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Sanjay Gupta | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Spyglass Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jan 16, 2025 | 50% |
| Adp of the SNF | Jul 1, 2025 | ||
| Brady O'Shea | 5% Or Greater Indirect Ownership Interest | Jan 16, 2025 | 5% |
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Direct Ownership Interest | Jan 16, 2025 | 4.99% | |
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Nollie Vismonte | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Shane McCormack | 5% Or Greater Indirect Ownership Interest | Jan 16, 2025 | 5% |
| Indirect Ownership Interest | Jan 16, 2025 | 5% | |
| Sabiniano Mariano | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Victor Macaspac | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Hunter Mitchell | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Robert Brandi | 5% Or Greater Indirect Ownership Interest | Jan 16, 2025 | 20% |
| Corporate Officer | Jan 16, 2025 | ||
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Lina Ventocilla | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Ryan C McCormack | 5% Or Greater Indirect Ownership Interest | Jan 16, 2025 | 20% |
| Corporate Officer | Jan 16, 2025 | ||
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Dikko Fred Duatin | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Avishai Oscherowitz | Corporate Officer | Jan 16, 2025 | |
| Cami Ann Pascua | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Direct Ownership Interest | Jan 16, 2025 | 4.5% | |
| Joel Sigua | Operational/Managerial Control | Jan 16, 2025 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Mandakini Hersh Patel | 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.
-
- Internal Medicine Physician
- Walnut Creek, CA
- NPI 1457739161
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1932856200
Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1437896081
Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1639826803
Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Mountain View, CA
- NPI 1427770692
Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Morgan Hill, CA
- NPI 1538973607
Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Morgan Hill, CA
- NPI 1801504527
Spyglass Healthcare LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Walnut Creek, CA
- NPI 1457739161
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.