Organization Active NPI

Hilborn Care Inc

  • Skilled Nursing Facility
  • Santa Rosa, CA
National Provider Identifier
1326734625
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HILBORN CARE INC
Doing business as
Creekside Rehabilitation and Behavioral Health
Practice address
850 Sonoma Ave
Santa Rosa, CA 95404-4715
Phone
(707) 544-7750
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Josekutty Jose
Title
Ceo
Phone
(925) 999-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

850 Sonoma Ave
Santa Rosa, CA 95404-4715

Mailing address

3700 Hilborn Rd Ste 800
Fairfield, CA 94534-7997
Phone (707) 439-3871

Other names 1

  • Creekside Rehabilitation and Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220003970 CA Part A Provider - Skilled Nursing Facility 3072963768 Practice locations: Santa Rosa, CA

Skilled nursing facility certification: CCN 056090

Legal name
HILBORN CARE, INC.
Doing business as
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 1, 1974
Last certification
Nov 17, 2023
Beds
181
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 5, 2022 in CA
Enrollment address
850 Sonoma Ave
Santa Rosa, CA 95404-4715
Nursing home name
BLUE OAK POST-ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Blue Oak Post-AcuteCCN 056090 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
181163.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $36,892

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Raul Suratos Individual Operational/Managerial Control Sep 16, 2024
Adp of the SNF Sep 16, 2024
April M Trask Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Eran Matalon Individual Operational/Managerial Control Jan 1, 2002
Adp of the SNF Jan 1, 2002
Megan Rose Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Josekutty Jose Individual 5% Or Greater Direct Ownership Interest Dec 5, 2022 100%
Corporate OfficerCeo, Cfo Dec 5, 2022
Corporate DirectorDirector Dec 5, 2022
Adp of the SNF Mar 1, 2023
Direct Ownership Interest Mar 1, 2023 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1326734625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HILBORN RD STE 800",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347997",
            "telephone_number": "707-439-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044715",
            "telephone_number": "707-544-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILBORN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "JOSEKUTTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-999-0004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Rehabilitation and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creekside Rehabilitation and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.