NPIMap

Organization Active NPI

Claydelle Healthcare LLC

Doing business as Somerset Post Acute Care

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1073916987
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLAYDELLE HEALTHCARE LLC
Doing business as
Somerset Post Acute Care
Somerset Subacute and Care
Practice address
151 Claydelle Ave
El Cajon, CA 92020-4505
Phone
(619) 448-0245
Fax
(619) 442-3631
NPI assigned
Oct 6, 2014
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Soon Burnam
Title
Secretary
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

151 Claydelle Ave
El Cajon, CA 92020-4505

Mailing address

151 Claydelle Ave
El Cajon, CA 92020-4505
Phone (619) 448-0245

Other names 2

  • Somerset Post Acute Care Doing business as
  • Somerset Subacute and Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141216002222 CA Part A Provider - Skilled Nursing Facility 3678896032 Practice locations: El Cajon, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073916987. Details of each certification follow.

Skilled nursing facility certification: CCN 555871

Legal name
CLAYDELLE HEALTHCARE LLC
Doing business as
SOMERSET POST ACUTE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 22, 2011
Last certification
Mar 13, 2025
Beds
65
Ownership / control type
Corporation
Multi-facility organization
Ensign Facility Services
Most recent change of ownership
Dec 1, 2014
Organization structure
LLCProprietary
Incorporated
Sep 10, 2014 in NV
Enrollment address
151 Claydelle Ave
El Cajon, CA 92020-4505
Nursing home name
SOMERSET POST ACUTE CARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Somerset Post Acute CareCCN 555871 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6543.9 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $26,728

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
05D0566256Somerset Subacute and Care151 Claydelle Ave, El Cajon, CA 92020Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Claydelle Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Glenn Matthews Individual Operational/Managerial ControlAdministrator Dec 1, 2014
Managing Control - Governing BodyAdministrator Dec 1, 2014
Adp of the SNF Jul 10, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Adp of the SNF Dec 1, 2014
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 1, 2014
Adam Willits Individual Corporate DirectorSole Manager Claydelle Healthcare L Sep 1, 2017
Twomagnets LLC Organization, Covina, CA LLC Operational/Managerial Control Dec 1, 2014
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 10, 2014 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Dec 1, 2014
Bernard Aron Michlin Individual Operational/Managerial Control Apr 1, 2024
Managing Control - Governing BodyMedical Director Apr 1, 2024
Adp of the SNF Jul 10, 2025
Avocado Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Dec 1, 2014
Soon Burnam Individual Corporate OfficerSecretary Claydelle Healthcare LLC Sep 10, 2014
Managing Control - Governing BodyAuthorized Official Sep 10, 2014

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 60

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

View all 60

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1073916987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CLAYDELLE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204505",
            "telephone_number": "619-448-0245",
            "fax_number": "619-442-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CLAYDELLE AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204505",
            "telephone_number": "619-448-0245",
            "fax_number": "619-442-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYDELLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Somerset Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Somerset Subacute and Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.