NPIMap

Organization Active NPI

Empirecare Health Associates LLC

Doing business as The Grove Care and Wellness

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1356588826
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EMPIRECARE HEALTH ASSOCIATES LLC
Doing business as
The Grove Care and Wellness
Practice address
3401 Lemon St
Riverside, CA 92501-2861
Phone
(951) 686-8202
Fax
(951) 784-1508
NPI assigned
Jan 20, 2009
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Ms. Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336424161 CA
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

3401 Lemon St
Riverside, CA 92501-2861

Mailing address

3401 Lemon St
Riverside, CA 92501-2861
Phone (951) 686-8202

Other names 1

  • The Grove Care and Wellness 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
O20101019000973 CA Part A Provider - Skilled Nursing Facility 1355499211 Practice locations: Riverside, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356588826. Details of each certification follow.

Skilled nursing facility certification: CCN 555613

Legal name
EMPIRECARE HEALTH ASSOCIATES LLC
Doing business as
THE GROVE CARE AND WELLNESS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 30, 1994
Last certification
Jan 30, 2025
Beds
38
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Most recent change of ownership
Jun 22, 2010
Organization structure
LLCProprietary
Incorporated
Dec 15, 2008 in NV
Enrollment address
3401 Lemon St
Riverside, CA 92501-2861
Nursing home name
THE GROVE CARE AND WELLNESS
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Grove Care and WellnessCCN 555613 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 30, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3835.6 residents per day on average
Chain
The Ensign Group342 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 12

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

NameRoleSinceShare
Flagstone Healthcare Central LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jan 16, 2009 100%
Lemon River Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Jan 16, 2009
Mousa Matar Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 16, 2009
Adam Willits Individual Corporate OfficerSole Manager Jan 1, 2025
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jan 16, 2009
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jan 16, 2009
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jan 16, 2009
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Gary Little Individual Operational/Managerial ControlAdministrator Jul 15, 2016
Managing Control - Governing BodyAdministrator Jul 15, 2016
Adp of the SNF Jul 15, 2016
Soon Burnam Individual Corporate OfficerSecretary Empirecare Health Associa Jan 16, 2009
Adp of the SNF Jul 11, 2025

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 18

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

View all 18

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.

Affiliated clinicians 6

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1356588826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012861",
            "telephone_number": "951-686-8202",
            "fax_number": "951-784-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012861",
            "telephone_number": "951-686-8202",
            "fax_number": "951-784-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRECARE HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336424161",
            "primary": false
        },
        {
            "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": "The Grove Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grove Care and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.