Active NPI
Brethren Hillcrest Homes
Doing business as Woods Health Services
- Skilled Nursing Facility
- La Verne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRETHREN HILLCREST HOMES
- Doing business as
- Woods Health Services
- Practice address
- 2600 A St
La Verne, CA 91750-4303 - Phone
- (909) 392-4367
- Fax
- (909) 392-4112
- NPI assigned
- Sep 26, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Charles E. Cable
- Title
- President and C.E.O.
- Phone
- (909) 593-4917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
2600 A St
La Verne, CA 91750-4303
Mailing address
2705 Mountain View Dr
La Verne, CA 91750-4357
Phone (909) 392-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06083F | Medicaid | CA |
Other names 1
- Woods Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120419000287 | CA | Part A Provider - Skilled Nursing Facility | 0345401253 | Practice locations: La Verne, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346236106. Details of each certification follow.
Skilled nursing facility certification: CCN 056083
- Legal name
- BRETHREN HILLCREST HOMES
- Doing business as
- WOODS HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 29, 1969
- Last certification
- Apr 4, 2025
- Beds
- 74
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 7, 1947 in CA
- Enrollment address
- 2600 A Street
La Verne, CA 91750-4303 - Nursing home name
- WOODS HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Woods Health Services
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- May 29, 1969
- Medicare certification status
- Active
- Certified beds
- 74
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0896074 | Woods Health Services | Certificate of waiver | Dec 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
2600 A St
La Verne, CA 91750
Phone (909) 392-4334
Ownership & related parties
All disclosed owners & managing parties 22
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 |
|---|---|---|---|
| Brethren Hillcrest Homes | Operational/Managerial Control | May 29, 1969 | 100% |
| Christine Meek | Corporate Director | Jan 1, 2023 | |
| Donna Redman | Corporate Director | Jan 1, 2023 | |
| Linda Saddlemire | Corporate Director | Jan 1, 2023 | |
| Susan Tenorio | Corporate Director | Jan 1, 2023 | |
| Edward McMullin | Corporate Director | Jan 1, 2023 | |
| Dorothy Hess | Corporate Director | Jan 1, 2023 | |
| Joel Brouwer | Corporate Officer | Mar 20, 2023 | |
| Thomas D Allison | Corporate Director | Jan 1, 2023 | |
| Kathleen Duncan | Corporate Director | Jan 1, 2023 | |
| Tina J Wang | Corporate Director | Jan 1, 2023 | |
| Russ Matteson | Corporate Director | Jan 1, 2017 | |
| Jacqueline Doud | Corporate Director | Jan 1, 2023 | |
| Jon Blickenstaff | Corporate Director | Jan 1, 2017 | |
| Dan Lane | Corporate Director | Jan 1, 2023 | |
| Keith Kasin | Corporate Officer | Sep 21, 1966 | |
| Matthew Neeley | Corporate Officer | Jan 3, 2005 | |
| W-2 Managing Employee | Jan 3, 2005 | ||
| Dale Stanley | Corporate Director | Jan 1, 2023 | |
| Barbara Smythe | Corporate Director | Jan 1, 2023 | |
| Robert Harry Johnston | Corporate Director | Jan 1, 2023 | |
| Michael Welch | Corporate Director | Jan 1, 2023 | |
| Kathleen Garvey | Corporate Director | Jan 1, 2023 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- San Dimas, CA
- NPI 1700876323
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Pomona, CA
- NPI 1033614722
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346236106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 MOUNTAIN VIEW DR",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504357",
"telephone_number": "909-392-4917",
"fax_number": "909-392-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 A ST",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504303",
"telephone_number": "909-392-4367",
"fax_number": "909-392-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRETHREN HILLCREST HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CABLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT AND C.E.O.",
"authorized_official_telephone_number": "909-593-4917",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT06083F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woods Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.