Organization Active NPI

Ag Murrieta SNF, LLC

Doing business as Murrieta Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Murrieta, CA
National Provider Identifier
1174517650
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000748 Issued in CA
Legal business name
AG MURRIETA SNF, LLC
Doing business as
Murrieta Health & Rehabilitation Center
Practice address
24100 Monroe Avenue
Murrieta, CA 92562
Phone
(951) 600-4640
Fax
(951) 600-4738
NPI assigned
Sep 9, 2005
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Jacob Wintner
Title
Manager
Phone
(323) 651-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000748 CA Primary

Addresses

Primary practice location

24100 Monroe Avenue
Murrieta, CA 92562

Mailing address

24100 Monroe Avenue
Murrieta, CA 92562
Phone (951) 600-4640

Other identifiers 1

IdentifierTypeStateIssuer
LTC55747GMedicaidCA

Other names 1

  • Murrieta Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031023000046 CA Part A Provider - Skilled Nursing Facility 1254243926 Practice locations: Murrieta, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174517650. Details of each certification follow.

Skilled nursing facility certification: CCN 555747

Legal name
AG MURRIETA SNF, LLC
Doing business as
MURRIETA HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 18, 1999
Last certification
Dec 12, 2024
Beds
145
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 11, 2003 in CA
Enrollment address
24100 Monroe Ave
Murrieta, CA 92562-9507
Nursing home name
MURRIETA HEALTH AND REHABILITATION CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Murrieta Health and Rehabilitation CenterCCN 555747 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 18, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
145130.6 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain

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
05D0960043Murrieta Health & Rehabilitation24100 Monroe Ave, Murrieta, CA 92562Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Pranav Barve Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Miguel Vidales Individual Operational/Managerial Control Mar 1, 2021
Managing Control - Governing BodyRegional Director of Operations Mar 1, 2021
Adp of the SNF Mar 1, 2021
BH Alliance Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2003 5%
Linda Lutz Individual Operational/Managerial Control Feb 1, 2012
Adp of the SNF Feb 1, 2012
Ira E Smedra Living Trust Organization, Los Angeles, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2003 47.5%
Win Win Enterprises, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2003 47.5%
Adp of the SNF Oct 1, 2003
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Management services company, Chain home office Operational/Managerial Control Oct 1, 2013
Adp of the SNF Nov 4, 2025
Ira Smedra Individual 5% Or Greater Indirect Ownership InterestAuthorized Official/Managing Member Nov 23, 2020 47.5%
Operational/Managerial ControlManager Jan 1, 2003
Adp of the SNF Jan 1, 2003
James Wright Individual Operational/Managerial Control Dec 27, 2021
Managing Control - Governing BodyAdministrator Dec 27, 2021
Adp of the SNF Nov 4, 2025
Ag Facilities Operations, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 11, 2003 100%
Jacob Wintner Individual Operational/Managerial ControlManager Oct 1, 2003
Jacob Wintner Individual Adp of the SNF Oct 1, 2003
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
Vanessa Vivianna Ruiz Individual Operational/Managerial Control Jun 16, 2025
24100 Monroe, LLC Organization, Los Angeles, CA LLC Adp of the SNF Oct 1, 2003
Heidi Capela Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Apr 3, 2023

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 31

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

View all 31

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1174517650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 MONROE AVENUE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-4640",
            "fax_number": "310-574-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 MONROE AVENUE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-600-4640",
            "fax_number": "951-600-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG MURRIETA SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55747G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murrieta Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.