NPIMap

Organization Active NPI

BLC Glenwood Gardens SNF LH LLC

Doing business as Brookdale Riverwalk SNF (CA)

  • Skilled Nursing Facility
  • Bakersfield, CA
National Provider Identifier
1275697658
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120000555 Issued in CA
Legal business name
BLC GLENWOOD GARDENS SNF LH LLC
Doing business as
Brookdale Riverwalk SNF (CA)
Practice address
350 Calloway Dr
Building 'C'
Bakersfield, CA 93312-2974
Phone
(661) 587-0182
Fax
(661) 587-8053
NPI assigned
Dec 20, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Anna F.C. Munoz
Title
Assistant Secretary
Phone
(414) 918-5443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 120000555 CA Primary

Addresses

Primary practice location

350 Calloway Dr
Building 'C'
Bakersfield, CA 93312-2974

Mailing address

350 Calloway Dr
Building 'C'
Bakersfield, CA 93312-2974
Phone (661) 587-0182

Other identifiers 1

IdentifierTypeStateIssuer
LTC55771GMedicaidCA

Other names 1

  • Brookdale Riverwalk SNF (CA) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060712000366 CA Part A Provider - Skilled Nursing Facility 0244243350 1 other NPI on this enrollment
Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275697658. Details of each certification follow.

Skilled nursing facility certification: CCN 555771

Legal name
BLC GLENWOOD GARDENS SNF LH LLC
Doing business as
BROOKDALE RIVERWALK SNF (CA)
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 10, 2001
Last certification
Nov 7, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Brookdale Riverwalk
Organization structure
LLCProprietary
Incorporated
Feb 21, 2006 in DE
Enrollment address
350 Calloway Dr
BLDG C
Bakersfield, CA 93312-2974
Nursing home name
BAYSHIRE RIVERWALK POST-ACUTE
Affiliated entity
BROOKDALE SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bayshire Riverwalk Post-AcuteCCN 555771 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 10, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12099.4 residents per day on average
Chain
Brookdale Senior Living12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $80,668

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

350 Calloway Dr
Bakersfield, CA 93312
Phone (661) 587-0182

350 Calloway Dr
#C
Bakersfield, CA 93312
Phone (661) 587-0182

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Kevin W Bowman Individual Corporate OfficerExecutive Vice President Oct 1, 2021
Corporate DirectorBoard Member Oct 1, 2021
Brookdale Living Communities, Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 21, 2006 100%
Kevin W la Marre Individual Corporate OfficerVice President - Accounting Jan 22, 2017
Brookdale Senior Living Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 21, 2006 100%
Chadwick C White Individual Corporate OfficerExec VP and Secretary Mar 9, 2018
Corporate DirectorBoard Member Mar 9, 2018
Lucinda M Baier Individual Corporate OfficerPresident/Ceo Mar 9, 2018
Corporate DirectorBoard Member Mar 9, 2018
Anna F.C. Munoz Individual Corporate OfficerAuthorized Secretary Feb 15, 2024
Operational/Managerial Control Apr 5, 2024
Brookdale Gardens Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 21, 2006 100%

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1275697658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CALLOWAY DR",
            "address_2": "BUILDING 'C'",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122974",
            "telephone_number": "661-587-0182",
            "fax_number": "661-587-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CALLOWAY DR",
            "address_2": "BUILDING 'C'",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122974",
            "telephone_number": "661-587-0182",
            "fax_number": "661-587-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC GLENWOOD GARDENS SNF LH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "F.C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55771G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Riverwalk SNF (CA)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Riverwalk SNF (CA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.