NPIMap

Organization Active NPI

Tanzanite Holding LLC

Doing business as Eden Healthcare Center

  • Skilled Nursing Facility
  • Hayward, CA
National Provider Identifier
1144913880
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TANZANITE HOLDING LLC
Doing business as
Eden Healthcare Center
Practice address
27350 Tampa Ave
Hayward, CA 94544-4429
Phone
(510) 783-8150
NPI assigned
May 30, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Robert Brandi
Title
Manager
Phone
(916) 677-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

27350 Tampa Ave
Hayward, CA 94544-4429

Mailing address

27350 Tampa Ave
Hayward, CA 94544-4429

Other names 1

  • Eden 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
O20230926001739 CA Part A Provider - Skilled Nursing Facility 3971957820 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144913880. Details of each certification follow.

Skilled nursing facility certification: CCN 056052

Legal name
TANZANITE HOLDING LLC
Doing business as
EDEN HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1973
Last certification
Oct 5, 2024
Beds
121
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jun 15, 2023
Organization structure
LLCProprietary
Incorporated
May 16, 2023 in CA
Enrollment address
27350 Tampa Ave
Hayward, CA 94544-4429
Nursing home name
EDEN HEALTHCARE CENTER
Affiliated entity
SPYGLASS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eden Healthcare CenterCCN 056052 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121117.8 residents per day on average
Chain
Spyglass Healthcare9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $30,870

Processed by Care Compare on Aug 1, 2026.

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 Jun 15, 2023 4.8%
Jose Estrada Individual Operational/Managerial Control Oct 30, 2024
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Tiffany Wong Individual Operational/Managerial Control Aug 8, 2023
Spyglass Healthcare LLC Organization, Lincoln, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 15, 2023 50%
Adp of the SNF Apr 22, 2025
Brady O'Shea Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 5%
Tyrone E Snipes Individual Operational/Managerial Control Nov 3, 2023
Adp of the SNF Nov 3, 2023
Pattie Givens Individual Operational/Managerial Control Jun 26, 2023
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Alexander Lattin Individual Operational/Managerial Control Oct 2, 2023
Adp of the SNF Oct 2, 2023
Organization, North Hollywood, CA Corporation, Owned by another organization or individual Indirect Ownership Interest Jan 16, 2025 1%
Shane McCormack Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 5%
Abraham Bak Individual Corporate OfficerManager Jun 15, 2023
Direct Ownership Interest Jun 15, 2023 4.8%
Jessica Kumar Individual Operational/Managerial Control Jun 15, 2023
Individual Direct Ownership Interest Jun 15, 2023 1%
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Robert Brandi Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 20%
Corporate OfficerManager Jun 15, 2023
Operational/Managerial Control Jun 15, 2023
Individual Direct Ownership Interest Jun 15, 2023 4.8%
Nazila Ulfat Individual Operational/Managerial Control Jul 25, 2023
Ryan C McCormack Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 20%
Corporate OfficerManager Jun 15, 2023
Lachong Tran Individual Operational/Managerial Control Jun 15, 2023
Rangini Prasad Individual Operational/Managerial Control Jun 15, 2023
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Simran Singh Individual Operational/Managerial Control Jun 15, 2023
Cami Ann Pascua Individual Operational/Managerial Control Jan 2, 2025
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Organization, North Hollywood, CA Direct Ownership Interest Jun 15, 2023 4.8%
Menachem Gastwirth Individual Corporate OfficerManager Jun 15, 2023
Direct Ownership Interest Jun 15, 2023 4.8%

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 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": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1144913880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27350 TAMPA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27350 TAMPA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444429",
            "telephone_number": "510-783-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANZANITE HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BRANDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-677-7416"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.