Organization Active NPI

Bridgewater Bay Holdings LLC

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1316655871
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 14, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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-AcuteCCN 555585
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 31, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
305298.5 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Esi Gi Shores Investor LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2022 75%
Mary Beardsley Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Toby Tilford Individual 5% Or Greater Indirect Ownership Interest Dec 21, 2022 46.6%
Corporate OfficerManager Dec 21, 2022
Operational/Managerial Control Dec 21, 2022
Esi Shores Investor LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 21, 2022 25%
Chad Anderson Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Adora Sagisi Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Scott Clawson Individual Indirect Ownership Interest Dec 21, 2022 4%
Antonette D Frojelin Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Steven Earl Individual Indirect Ownership Interest Dec 21, 2022 0.8%
Links Support Services, LLC Organization, San Diego, CA LLC Operational/Managerial Control Dec 21, 2022
Adp of the SNF Jul 16, 2025
Myrna a Deguzman Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Victoria Bernholz Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Melissa Carter Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Dec 21, 2022 100%
Saleem Rajper Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Links Healthcare Group LLC Organization, San Diego, CA LLC, Owned by another organization or individual 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 Organization, Salt Lake City, UT Adp of the SNF Dec 21, 2022
Ellen R Subia Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Jack Sanofsky Individual Indirect Ownership Interest Dec 21, 2022 2%
Marionne Matusalem Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Eagle Shores Investor, LLC Organization, New York, NY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 21, 2022 47.5%
Sharon Ramirez Individual Operational/Managerial Control Dec 21, 2022
Adp of the SNF Dec 21, 2022
Curtis Rodriguez Individual 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.

Facilities with the same owner 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "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

Verify at the official NPI Registry.