NPIMap

Organization Active NPI

Redbrook Healthcare Associates LLC

Doing business as Brookside Healthcare Center

  • Skilled Nursing Facility
  • Redlands, CA
National Provider Identifier
1396744918
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240000121 Issued in CA
Legal business name
REDBROOK HEALTHCARE ASSOCIATES LLC
Doing business as
Brookside Healthcare Center
Practice address
105 Terracina Blvd
Redlands, CA 92373-4845
Phone
(909) 793-2271
Fax
(909) 792-6477
NPI assigned
Jul 15, 2005
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240000121 CA Primary

Addresses

Primary practice location

105 Terracina Blvd
Redlands, CA 92373-4845

Mailing address

105 Terracina Blvd
Redlands, CA 92373-4845
Phone (909) 793-2271

Other identifiers 1

IdentifierTypeStateIssuer
ZZT18028LMedicaidCA

Other names 1

  • Brookside Healthcare Center 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
O20030708000048 CA Part A Provider - Skilled Nursing Facility 4789594631 Practice locations: Redlands, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396744918. Details of each certification follow.

Skilled nursing facility certification: CCN 056372

Legal name
REDBROOK HEALTHCARE ASSOCIATES LLC
Doing business as
BROOKSIDE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1981
Last certification
Oct 25, 2024
Beds
97
Ownership / control type
Corporation
Multi-facility organization
The Ensign Group, INC
Most recent change of ownership
Aug 1, 2003
Organization structure
LLCProprietary
Incorporated
Aug 1, 2003 in NV
Enrollment address
105 Terracina Blvd
Redlands, CA 92373-4845
Nursing home name
BROOKSIDE HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Brookside Healthcare CenterCCN 056372 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9781.5 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

Locations

105 Terracina Blvd
Redlands, CA 92373
Phone (909) 793-2271

Ownership & related parties

All disclosed owners & managing parties 10

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, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 30, 2006 100%
Jean Claude Hage Individual Operational/Managerial Control Sep 14, 2015
Managing Control - Governing BodyMedical Director Sep 14, 2015
Adp of the SNF Sep 14, 2015
Michelle Mora Individual Operational/Managerial ControlAdministrator Nov 9, 2019
Managing Control - Governing BodyAdministrator Nov 9, 2019
Adp of the SNF Nov 9, 2019
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Aug 1, 2003
Adam Willits Individual Corporate OfficerSole Manager Redbrook Healthcare As Jan 1, 2019
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Jan 1, 2014
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Siena Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Soon Burnam Individual Corporate OfficerSecretary Redbrook Healthcare Assoc Jan 30, 2006

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

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1396744918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734845",
            "telephone_number": "909-793-2271",
            "fax_number": "909-792-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734845",
            "telephone_number": "909-793-2271",
            "fax_number": "909-792-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBROOK HEALTHCARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18028L",
            "state": "CA"
        }
    ],
    "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": "Brookside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.