Organization Active NPI

Xingu River Holdings LLC

  • Skilled Nursing Facility
  • Pasadena, CA
National Provider Identifier
1245920263
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
XINGU RIVER HOLDINGS LLC
Practice address
150 Bellefontaine St
Pasadena, CA 91105-3102
Phone
(858) 798-5700
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Toby Tilford
Title
Manager
Phone
(858) 798-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

150 Bellefontaine St
Pasadena, CA 91105-3102

Mailing address

16544 Franzen Farm Rd
San Diego, CA 92127-2240
Phone (858) 798-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328003412 CA Part A Provider - Skilled Nursing Facility 8022456813 Practice locations: Pasadena, CA

Skilled nursing facility certification: CCN 056080

Legal name
XINGU RIVER HOLDINGS LLC
Doing business as
THE BELLEFONTAINE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1970
Last certification
May 5, 2025
Beds
130
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Links Healthcare
Most recent change of ownership
Feb 1, 2024
Organization structure
LLCProprietary
Incorporated
Apr 3, 2023 in CA
Enrollment address
150 Bellefontaine St
Pasadena, CA 91105-3102
Nursing home name
THE BELLEFONTAINE HEALTHCARE CENTER
Affiliated entity
LINKS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Bellefontaine Healthcare CenterCCN 056080
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130118.4 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain
Penalties (3 years)
1Fines totaling $14,414

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
05D0725734Bellefontaine Healthcare Center, the150 Bellefontaine St, Pasadena, CA 91105Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Individual Indirect Ownership Interest Feb 1, 2024 0.8%
Maynor Chapman Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Mary Beardsley Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Toby Tilford Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 46.6%
Corporate OfficerManager Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Organization, Salt Lake City, UT Adp of the SNF Jun 18, 2025
Organization, North Hollywood, CA Adp of the SNF Feb 1, 2024
Antonette D Frojelin Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Links Support Services, LLC Organization, San Diego, CA LLC Operational/Managerial Control Feb 1, 2024
Adp of the SNF Jun 18, 2025
Leizl Penuela Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Individual Indirect Ownership Interest Feb 1, 2024 4%
Victoria Bernholz Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Melissa Carter Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Feb 1, 2024 100%
Links Healthcare Group LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Operational/Managerial Control Feb 1, 2024
Adp of the SNF Jun 18, 2025
Individual Indirect Ownership Interest Feb 1, 2024 2%
Curtis Rodriguez Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 46.6%
Corporate OfficerManager Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Christopher B Ehman Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1245920263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16544 FRANZEN FARM RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272240",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BELLEFONTAINE ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053102",
            "telephone_number": "858-798-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XINGU RIVER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-798-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.