NPIMap

Organization Active NPI

Redlands Community Hospital

  • Home Health Agency
  • Redlands, CA
National Provider Identifier
1407990575
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REDLANDS COMMUNITY HOSPITAL
Practice address
350 Terracina Blvd
Redlands, CA 92373-4850
Phone
(909) 335-5501
Fax
(909) 335-6494
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
REDLANDS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
James R. Holmes
Title
Ceo
Phone
(909) 335-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
General Acute Care Hospital 282N00000X 240000191 CA

Addresses

Primary practice location

350 Terracina Blvd
Redlands, CA 92373-4850

Mailing address

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5501

Other identifiers 1

IdentifierTypeStateIssuer
HHA07494FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000390 CA Part A Provider - Home Health Agency 8820175599 Practice locations: Redlands, CA

Home health agency certification: CCN 057494

Legal name
REDLANDS COMMUNITY HOSPITAL
Doing business as
REDLANDS COMMUNITY HOSPITAL HOME HEALTH CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 28, 1994
Last certification
Apr 26, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 8, 1927 in CA
Enrollment address
350 Terracina Blvd
Redlands, CA 92373-4850

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Redlands Community Hospital Home Health Care ServicesCCN 057494
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Apr 28, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Redlands Community Hospital

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Yolanda Contreras Individual Corporate DirectorBoard Member Apr 1, 2010
Richard Allison Beemer Individual Corporate DirectorBoard Chairperson Apr 1, 2011
Robert Hodges Individual Corporate DirectorBoard Treasurer Apr 1, 1997
Kasey Nelson Haws Individual Corporate DirectorBoard Member Apr 21, 2021
Carol Ann Snodgress Individual Corporate DirectorBoard Vice Chairperson Apr 1, 2013
Todd Jason Sexton Individual Corporate OfficerVice President/Coo Jul 1, 2021
Sam Racadio Individual Corporate DirectorBoard Member Apr 1, 2012
Stanley Weisser Individual Corporate DirectorBoard Secretary Apr 1, 2002
Klemens N Huynh Individual Corporate DirectorBoard Cheif of Staff,Elect Jan 1, 2022
Karen Virginia Zirkle Individual Corporate OfficerVice President of Bus. Development Sep 1, 2019
Kathleen Salvesen Individual Corporate DirectorBoard Member Apr 1, 2005
Michelle Mok Individual Corporate OfficerVice President of Finance/Cfo Feb 1, 2015
Pranav R Mehta Individual Corporate DirectorBoard Member Apr 1, 2006
Joyce Glorel Volsch Individual Corporate OfficerVice President / Cno Jun 13, 2022
Corporate DirectorVice President / Cno Jun 13, 2022
Theodore Alejandre Individual Corporate DirectorBoard Member Apr 1, 2018
Sameh E Naseib Individual Corporate DirectorBoard Chief of Staff Jan 1, 2020
Redlands Community Hospital Organization, Redlands, CA Non-profit Operational/Managerial Control Jul 1, 1966 100%
Neal Waner Individual Corporate DirectorBoard Member Apr 1, 2017
Jeffrey Paz Martinez Individual Corporate DirectorBoard Member Apr 1, 2021
Alvin Umeda Individual Corporate DirectorBoard Member Apr 4, 2006
Della Gwen Stange Individual Corporate OfficerVice President of Human Resources Jun 13, 2022
Adam Y Thunell Individual Corporate OfficerPresident/Ceo Jan 12, 2026 100%
W-2 Managing EmployeePresident/Ceo Jan 12, 2026 100%
Operational/Managerial ControlPresident/Ceo Jan 12, 2026 100%
William Hatfield Individual Corporate DirectorBoard Member Apr 1, 2001

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Redlands Community HospitalRedlands, CA, CCN 050272 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Redlands Community HospitalRedlands, CA, CCN 555642 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 30, 1995
Jun 30, 1995
Redlands Community HospitalRedlands, CA, CCN 051534 Hospice Operational/Managerial Control (100%) Jan 25, 1988

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1407990575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734850",
            "telephone_number": "909-335-5501",
            "fax_number": "909-335-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734850",
            "telephone_number": "909-335-5501",
            "fax_number": "909-335-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDLANDS COMMUNITY HOSPITAL",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-335-5500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "240000191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07494F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.