Active NPI
Redlands Community Hospital
- Skilled Nursing Facility
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- REDLANDS COMMUNITY HOSPITAL
- Practice address
- 350 Terracina Blvd
Redlands, CA 92373-4850 - Phone
- (909) 335-5501
- Fax
- (909) 335-6494
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 9, 2019
- Organization subpart
- Yes
- Parent organization
- REDLANDS COMMUNITY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Mok
- Title
- Chief Financial Officer
- Phone
- (909) 335-5501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 240000191 | CA | |
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
350 Terracina Blvd
Redlands, CA 92373-4850
Mailing address
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT30272F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100923001294 | CA | Part A Provider - Skilled Nursing Facility | 8820175599 | Practice locations: Redlands, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316081482. Details of each certification follow.
Skilled nursing facility certification: CCN 555642
- Legal name
- REDLANDS COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 30, 1995
- Last certification
- Nov 8, 2024
- Beds
- 16
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 28, 1927 in CA
- Enrollment address
- 350 Terracina Blvd
Redlands, CA 92373-4850 - Nursing home name
- REDLANDS COMM HOSP D/P SNF
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1225172398
8820175599
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Redlands Comm Hosp D/p Snf
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 30, 1995
- Medicare certification status
- Active
- Certified beds
- 16
National Provider Directory
National Provider Directory- Tax ID family
- Redlands Comm HSP Eeg D
- Part of
- Redlands Comm HSP Eeg D
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1225172398
-
dba Outpatient Pharmacy, Redlands Community Hospital
- Clinic Pharmacy
- Redlands, CA
- NPI 1255278164
-
dba Outpatient Pharmacy, Redlands Community Hospital
- Community/Retail Pharmacy
- Redlands, CA
- NPI 1386581296
-
- General Practice Physician
- Redlands, CA
- NPI 1801131636
-
- Specialist
- Redlands, CA
- NPI 1174570725
Ownership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Yolanda Contreras | Corporate Director | Apr 1, 2010 | |
| Richard Allison Beemer | Corporate Director | Apr 1, 2011 | |
| Robert Hodges | Corporate Director | Apr 1, 1997 | |
| Carol Ann Snodgress | Corporate Director | Apr 1, 2013 | |
| Todd Jason Sexton | Corporate Officer | Jul 1, 2021 | |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Adp of the SNF | Jul 1, 2021 | ||
| Sam Racadio | Corporate Director | Apr 1, 2012 | |
| Willilam John Emmerson | Corporate Director | Jan 4, 2024 | |
| Stanley Weisser | Corporate Director | Apr 1, 2002 | |
| Klemens N Huynh | Corporate Director | Jan 1, 2022 | |
| Walter Jones | Corporate Director | Jan 4, 2024 | |
| Karen Virginia Zirkle | Corporate Officer | Sep 1, 2019 | |
| Operational/Managerial Control | Sep 1, 2019 | ||
| Adp of the SNF | Sep 1, 2019 | ||
| James Holmes | Corporate Officer | Jul 1, 1988 | |
| Kathleen Salvesen | Corporate Director | Apr 1, 2005 | |
| Gary Dean McBride | Corporate Director | Apr 6, 2023 | |
| Michelle Mok | Corporate Officer | Feb 1, 2015 | |
| Operational/Managerial Control | Feb 1, 2015 | ||
| Adp of the SNF | Feb 1, 2015 | ||
| Joyce Glorel Volsch | Corporate Officer | Jun 13, 2022 | |
| Operational/Managerial Control | Jun 13, 2022 | ||
| Adp of the SNF | Jun 13, 2022 | ||
| Theodore Alejandre | Corporate Director | Apr 1, 2018 | |
| Shantharam Pai | Operational/Managerial Control | Oct 1, 2022 | |
| Adp of the SNF | Oct 1, 2022 | ||
| Redlands Community Hospital | Operational/Managerial Control | Jun 30, 1995 | |
| Adp of the SNF | Jun 30, 1995 | ||
| Neal Waner | Corporate Director | Apr 1, 2017 | |
| Jeffrey Paz Martinez | Corporate Director | Apr 1, 2021 | |
| Alvin Umeda | Corporate Director | Apr 1, 2006 | |
| Della Gwen Stange | Corporate Officer | Jun 12, 2023 | |
| Corporate Director | Apr 2, 2023 | ||
| Operational/Managerial Control | Apr 2, 2023 | ||
| Adp of the SNF | Apr 2, 2023 | ||
| Adam Y Thunell | Corporate Officer | Jan 12, 2026 | 100% |
| Operational/Managerial Control | Jan 12, 2026 | ||
| Adp of the SNF | Jan 12, 2026 | ||
| William Hatfield | Corporate Director | Apr 1, 2001 |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- San Bernardino, CA
- NPI 1053317537
Adp of the SNF, Operational/Managerial Control
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
Adp of the SNF, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1225172398
Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- Redlands, CA
- NPI 1407990575
Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Redlands Community Hospital | Hospital | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Redlands Community Hospital Home Health Care Services | Home health agency | Operational/Managerial Control (100%) | Jul 1, 1966 |
| Redlands Community Hospital | Hospice | Operational/Managerial Control (100%) | Jan 25, 1988 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1225172398
Operational/Managerial Control
-
- Home Health Agency
- Redlands, CA
- NPI 1407990575
Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
Redlands Community Hospital
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1225172398
Redlands Community Hospital
-
- Home Health Agency
- Redlands, CA
- NPI 1407990575
Redlands Community Hospital
Practitioners & affiliated clinicians
Affiliated clinicians 11
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Redlands, CA
- NPI 1811083553
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1316081482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734850",
"telephone_number": "909-335-5501",
"fax_number": "909-335-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734850",
"telephone_number": "909-335-5501",
"fax_number": "909-335-6494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDLANDS COMMUNITY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDLANDS COMMUNITY HOSPITAL",
"enumeration_date": "2007-02-20",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "MOK",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "909-335-5501"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "240000191",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT30272F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
- Redbrook Healthcare Associates LLC (Brookside Healthcare Center)
- Susan Reddick
- Redlands Community Hospital
- Redlands Community Hospital
- Redlands Community Hospital (Outpatient Pharmacy, Redlands Community Hospital)
- Redlands Community Hospital (Outpatient Pharmacy, Redlands Community Hospital)
- Redlands Community Hospital
- Redlands Community Hospital
- Redlands Community Hospital
- Redlands Community Hospital Family Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.