NPIMap

Organization Active NPI

Jefferson Healthcare LLC

Doing business as Magnolia Post Acute Care

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1316340227
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JEFFERSON HEALTHCARE LLC
Doing business as
Magnolia Post Acute Care
Practice address
635 S Magnolia Ave
El Cajon, CA 92020-6012
Phone
(619) 442-8826
Fax
(619) 442-0288
NPI assigned
Oct 6, 2014
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 CA Primary

Addresses

Primary practice location

635 S Magnolia Ave
El Cajon, CA 92020-6012

Mailing address

635 S Magnolia Ave
El Cajon, CA 92020-6012
Phone (619) 442-8826

Other names 1

  • Magnolia Post Acute Care 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
O20141217001875 CA Part A Provider - Skilled Nursing Facility 1153644463 Practice locations: El Cajon, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316340227. Details of each certification follow.

Skilled nursing facility certification: CCN 055890

Legal name
JEFFERSON HEALTHCARE LLC
Doing business as
MAGNOLIA POST ACUTE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 11, 1968
Last certification
Jun 13, 2024
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Ensign
Organization structure
LLCProprietary
Incorporated
Sep 10, 2014 in NV
Enrollment address
635 S Magnolia Ave
El Cajon, CA 92020-6012
Nursing home name
MAGNOLIA POST ACUTE CARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Post Acute CareCCN 055890 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 11, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $117,475

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
05D0669943Magnolia Post Acute Care635 S Magnolia Ave, El Cajon, CA 92020Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Barry Port Individual Corporate OfficerSee Below Dec 1, 2014
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Dec 1, 2014
Adam Willits Individual Corporate OfficerSole Manager Jeffeson Healthcare Dec 31, 2021
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 10, 2014 100%
Anmar Bashir Jalil Individual Operational/Managerial Control Dec 5, 2017
Managing Control - Governing BodyMedical Director Dec 5, 2017
Adp of the SNF Dec 5, 2017
Chad Keetch Individual Corporate OfficerSee Below Dec 1, 2014
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Circle Health Holdings LLC Organization, San Juan Capistrano, CA LLC, For-profit Adp of the SNF Jan 1, 2022
Michael Williams Individual Operational/Managerial ControlAdministrator Dec 1, 2014
Managing Control - Governing BodyAdministrator Dec 1, 2014
Adp of the SNF Dec 1, 2014
Dignified Staffing Registry Inc Organization, Chula Vista, CA Corporation Operational/Managerial Control Dec 1, 2014
Soon Burnam Individual Corporate OfficerSecretary of Jefferson Healthcare Sep 10, 2014

Owners & managing parties with NPI records 1

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

  • Anmar Jalil, M.D.
    • Internal Medicine Physician
    • La Mesa, CA
    • NPI 1588907174

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1316340227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206012",
            "telephone_number": "619-442-8826",
            "fax_number": "619-442-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206012",
            "telephone_number": "619-442-8826",
            "fax_number": "619-442-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Magnolia Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.