NPIMap

Organization Active NPI

Brookside Care Center LLC

  • Skilled Nursing Facility
  • Stockton, CA
National Provider Identifier
1366025520
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BROOKSIDE CARE CENTER LLC
Practice address
1221 Rosemarie LN
Stockton, CA 95207-6703
Phone
(209) 477-2664
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Aaron Chesley, NHA
Title
Ceo
Phone
(760) 652-6354

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1221 Rosemarie LN
Stockton, CA 95207-6703

Mailing address

662 Encinitas Blvd Ste 216
Encinitas, CA 92024-6790
Phone (760) 652-6354

Other names 1

  • Brookside Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812000838 CA Part A Provider - Skilled Nursing Facility 3375947302 Practice locations: Stockton, CA

Skilled nursing facility certification: CCN 055304

Legal name
BROOKSIDE CARE CENTER LLC
Doing business as
BROOKSIDE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 31, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sweetwater Care
Organization structure
LLCProprietary
Incorporated
Apr 1, 2021 in CA
Enrollment address
1221 Rosemarie LN
Stockton, CA 95207-6703
Nursing home name
BROOKSIDE CARE CENTER
Affiliated entity
AJC HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookside Care CenterCCN 055304
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9995.9 residents per day on average
Chain
Ajc Healthcare14 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 6

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

NameRoleSinceShare
Rebecca Bonilla Mangual Individual W-2 Managing EmployeeAdministrator May 1, 2021
Ajc Healthcare LLC Organization, Encinitas, CA LLC 5% Or Greater Indirect Ownership Interest May 1, 2021 50%
Aaron Chesley Individual 5% Or Greater Indirect Ownership Interest May 1, 2021 50%
Corporate OfficerCeo/Manager May 1, 2021
SWC Ca Opco 2 LLC Organization, Encinitas, CA LLC 5% Or Greater Direct Ownership Interest May 1, 2021 100%
James B Gamett Individual 5% Or Greater Indirect Ownership Interest May 1, 2021 50%
Corporate OfficerPresident/Manager May 1, 2021
JBG Partners LLC Organization, Encinitas, CA LLC 5% Or Greater Indirect Ownership Interest May 1, 2021 50%

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1366025520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 ENCINITAS BLVD STE 216",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246790",
            "telephone_number": "760-652-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ROSEMARIE LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076703",
            "telephone_number": "209-477-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "CHESLEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-652-6354",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brookside Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.