Organization Active NPI

Ensign Whittier East LLC

Doing business as Whittier Hills Healthcare Center

  • Skilled Nursing Facility
  • Whittier, CA
National Provider Identifier
1255326039
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000018 Issued in CA
Legal business name
ENSIGN WHITTIER EAST LLC
Doing business as
Whittier Hills Healthcare Center
Practice address
10426 Bogardus Ave
Whittier, CA 90603-2642
Phone
(562) 947-7817
Fax
(562) 943-5347
NPI assigned
Sep 16, 2005
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000018 CA Primary

Addresses

Primary practice location

10426 Bogardus Ave
Whittier, CA 90603-2642

Mailing address

10426 Bogardus Ave
Whittier, CA 90603-2642
Phone (562) 947-7817

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05430LMedicaidCA

Other names 1

  • Whittier Hills Healthcare Center 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
O20120119000047 CA Part A Provider - Skilled Nursing Facility 8820265606 Practice locations: Whittier, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255326039. Details of each certification follow.

Skilled nursing facility certification: CCN 055430

Legal name
ENSIGN WHITTIER EAST LLC
Doing business as
WHITTIER HILLS HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 31, 1971
Last certification
Jan 10, 2025
Beds
160
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 26, 2000 in NV
Enrollment address
10426 Bogardus Ave
Whittier, CA 90603-2642
Nursing home name
WHITTIER HILLS HEALTH CARE CTR
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Whittier Hills Health Care CtrCCN 055430 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 31, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160154.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

10426 Bogardus Ave
Whittier, CA 90603
Phone (562) 947-7817

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jesse Kim Individual Operational/Managerial Control Apr 1, 2025
Managing Control - Governing BodyAdministrator Apr 1, 2025
Adp of the SNF Apr 1, 2025
Barry Port Individual Corporate DirectorSole Manager Jan 22, 2015
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2006 100%
Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 1, 2002
Adam Willits Individual Corporate OfficerSole Manager Sep 9, 2024
Bogardus Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2000
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Feb 1, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jul 1, 2000
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2000
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jul 1, 2000
Michael J Maguire Individual Operational/Managerial Control Sep 1, 2009
Managing Control - Governing BodyMedical Director Sep 1, 2009
Adp of the SNF Sep 1, 2009
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Jan 1, 2014
Soon Burnam Individual Corporate OfficerSecretary Ensign Whittier East LLC May 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1255326039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 BOGARDUS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032642",
            "telephone_number": "562-947-7817",
            "fax_number": "562-943-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 BOGARDUS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032642",
            "telephone_number": "562-947-7817",
            "fax_number": "562-943-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN WHITTIER EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05430L",
            "state": "CA"
        }
    ],
    "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": "Whittier Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whittier Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.