Active NPI
Bridgewater Bay Holdings LLC
- Skilled Nursing Facility
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRIDGEWATER BAY HOLDINGS LLC
- Practice address
- 2828 Meadow Lark Dr
San Diego, CA 92123-2710 - Phone
- (858) 798-5700
- NPI assigned
- Nov 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myrna Aldonza De Guzman
- Title
- Corporate Controller
- Phone
- (760) 331-3177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2828 Meadow Lark Dr
San Diego, CA 92123-2710
Mailing address
2828 Meadow Lark Dr
San Diego, CA 92123-2710
Phone (858) 798-5700
Other names 1
- THE SHORES POST-ACUTE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230622003403 | CA | Part A Provider - Skilled Nursing Facility | 7911365978 | Practice locations: San Diego, CA |
Skilled nursing facility certification: CCN 555585
- Legal name
- BRIDGEWATER BAY HOLDINGS LLC
- Doing business as
- THE SHORES POST-ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 31, 1994
- Last certification
- Dec 5, 2024
- Beds
- 305
- Ownership / control type
- Corporation
- Multi-facility organization
- Links Healthcare Group
- Most recent change of ownership
- Dec 21, 2022
- Organization structure
- LLC
- Incorporated
- Jul 5, 2017 in DE
- Enrollment address
- 2828 Meadow Lark Dr
San Diego, CA 92123-2710 - Nursing home name
- THE SHORES POST-ACUTE
- Affiliated entity
- LINKS HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Shores Post-Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 31, 1994
- Medicare certification status
- Active
- Certified beds
- 305
- Chain
- Links Healthcare Group
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Esi Gi Shores Investor LLC | 5% Or Greater Indirect Ownership Interest | Dec 21, 2022 | 75% |
| Mary Beardsley | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Toby Tilford | 5% Or Greater Indirect Ownership Interest | Dec 21, 2022 | 46.6% |
| Corporate Officer | Dec 21, 2022 | ||
| Operational/Managerial Control | Dec 21, 2022 | ||
| Esi Shores Investor LLC | 5% Or Greater Indirect Ownership Interest | Dec 21, 2022 | 25% |
| Chad Anderson | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Adora Sagisi | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Scott Clawson | Indirect Ownership Interest | Dec 21, 2022 | 4% |
| Antonette D Frojelin | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Steven Earl | Indirect Ownership Interest | Dec 21, 2022 | 0.8% |
| Links Support Services, LLC | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Jul 16, 2025 | ||
| Myrna a Deguzman | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Victoria Bernholz | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Melissa Carter | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Forbright Bank | 5% Or Greater Security Interest | Dec 21, 2022 | 100% |
| Saleem Rajper | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Links Healthcare Group LLC | 5% Or Greater Direct Ownership Interest | Dec 21, 2022 | 52.5% |
| Operational/Managerial Control | Dec 21, 2022 | ||
| Adp of the SNF | Jul 16, 2025 | ||
| Eide Bailly LLP | Adp of the SNF | Dec 21, 2022 | |
| Ellen R Subia | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Jack Sanofsky | Indirect Ownership Interest | Dec 21, 2022 | 2% |
| Marionne Matusalem | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Eagle Shores Investor, LLC | 5% Or Greater Direct Ownership Interest | Dec 21, 2022 | 47.5% |
| Sharon Ramirez | Operational/Managerial Control | Dec 21, 2022 | |
| Adp of the SNF | Dec 21, 2022 | ||
| Curtis Rodriguez | 5% Or Greater Indirect Ownership Interest | Dec 21, 2022 | 46.6% |
| Operational/Managerial Control | Dec 21, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1972533669
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 30
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Campbell, CA
- NPI 1801615133
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Livermore, CA
- NPI 1477077816
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1538683974
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- Carmichael, CA
- NPI 1265934632
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Lodi, CA
- NPI 1619531258
Links Healthcare Group LLC
-
- Skilled Nursing Facility
- San Jose, CA
- NPI 1255980835
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- San Jose, CA
- NPI 1801445481
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Livermore, CA
- NPI 1255963781
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Livermore, CA
- NPI 1962034496
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Encinitas, CA
- NPI 1619704004
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- Bakersfield, CA
- NPI 1467076109
Links Healthcare Group LLC, Links Support Services, LLC
-
- Skilled Nursing Facility
- San Jose, CA
- NPI 1174252928
Links Healthcare Group LLC, Links Support Services, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alpine, CA
- NPI 1861662884
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1316655871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 MEADOW LARK DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232710",
"telephone_number": "858-798-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 MEADOW LARK DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232710",
"telephone_number": "858-798-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWATER BAY HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "DE GUZMAN",
"authorized_official_first_name": "MYRNA",
"authorized_official_middle_name": "ALDONZA",
"authorized_official_title_or_position": "CORPORATE CONTROLLER",
"authorized_official_telephone_number": "760-331-3177"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE SHORES POST-ACUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.