Organization Active NPI

Town and Country Manor Christian & Missionary Alliance

  • Skilled Nursing Facility
  • Santa Ana, CA
National Provider Identifier
1376532051
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCE
Practice address
555 E Memory Lane
Santa Ana, CA 92706-1705
Phone
(714) 547-7581
Fax
(714) 547-0435
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mr. Robert Goerzen
Title
Chief Executive Officer
Phone
(714) 547-7581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 060000191 CA
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

555 E Memory Lane
Santa Ana, CA 92706-1705

Mailing address

555 E Memory Lane
Santa Ana, CA 92706-1705
Phone (714) 547-7581

Other identifiers 1

IdentifierTypeStateIssuer
ZZT 11308 FMedicaidCA

Other names 1

  • Town & Country Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000385 CA Part A Provider - Skilled Nursing Facility 1850436957 Practice locations: Santa Ana, CA

Skilled nursing facility certification: CCN 555141

Legal name
TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCE
Doing business as
TOWN & COUNTRY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 13, 1981
Last certification
Sep 13, 2024
Beds
96
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 27, 1973 in CA
Enrollment address
555 E Memory LN
Santa Ana, CA 92706-1705
Nursing home name
TOWN & COUNTRY
Affiliated entity
THE CHRISTIAN AND MISSIONARY ALLIANCE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Town & CountryCCN 555141
Overall star rating
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 13, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9683.1 residents per day on average
Chain
The Christian and Missionary Alliance2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0884431Town & Country Manor Healthcare Center555 E Memory Lane, Santa Ana, CA 92706Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Miran Melendez Individual Operational/Managerial Control Oct 2, 2000
Adp of the SNF Oct 2, 2000
Organization, Napa, CA Consulting firm Adp of the SNF Nov 21, 2024
John Adams Individual Corporate DirectorBoard Member Sep 22, 2024
Robert Yi Individual Corporate DirectorBoard Member Jan 1, 2013
Town and Country Manor Christian & Missionary Alliance Organization, Santa Ana, CA Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 17, 1976 100%
Adp of the SNF Dec 6, 2024
Organization, San Francisco, CA Consulting firm Adp of the SNF Nov 21, 2024
The Christian and Missionary Alliance Organization, Reynoldsburg, OH Non-profit 5% Or Greater Indirect Ownership Interest Sep 17, 1976 100%
Matthew Gerlach Individual Corporate DirectorBoard Secretary Jan 1, 2022
Ken Baldes Individual Corporate DirectorBoard Member Apr 1, 2021
Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 25, 2024
David Moreland Individual Corporate DirectorBoard Member Jan 1, 2015
Robert Ellis Individual Corporate DirectorBoard Member Sep 1, 2015
Gina Kolb Individual Corporate OfficerCfo Jan 20, 2013
Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
Organization, Los Angeles, CA Financial institution Adp of the SNF Nov 25, 2024
Marissa Preciado Individual Operational/Managerial Control Aug 16, 2016
Adp of the SNF Aug 16, 2016
Kari Walker Individual Corporate DirectorBoard Member Apr 1, 2017
Keith Crownover Individual Corporate DirectorBoard Vice Chairman Apr 1, 2022
Aaron Wolff Individual Corporate DirectorBoard Member Apr 1, 2018
Pat Holt Individual Operational/Managerial Control Feb 11, 2023
Adp of the SNF Feb 11, 2023
Wilford Kirk Individual Corporate DirectorBoard Member Apr 1, 2022
Organization, Saint Charles, MO Consulting firm Adp of the SNF Nov 21, 2024
Joseph Lamendola Individual Corporate DirectorBoard Chairman Jan 1, 2015
Organization, Santa Ana, CA Consulting firm Adp of the SNF Nov 21, 2024
Gordon Arthur Glasgow Individual Operational/Managerial Control May 1, 1983
Adp of the SNF Sep 1, 1998
Robert J Goerzen Individual Corporate OfficerPresident & Ceo Aug 23, 2021
Operational/Managerial Control Aug 23, 2021
Adp of the SNF Aug 23, 2021
Rod Bollins Individual Corporate DirectorBoard Treasurer Sep 1, 2007

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1376532051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEMORY LANE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061705",
            "telephone_number": "714-547-7581",
            "fax_number": "714-547-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E MEMORY LANE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061705",
            "telephone_number": "714-547-7581",
            "fax_number": "714-547-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "GOERZEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-547-7581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "060000191",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT 11308 F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town & Country",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.