NPIMap

Organization Active NPI

Dusk Healthcare, Inc.

Doing business as Broadway By The Sea

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1417660978
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DUSK HEALTHCARE, INC.
Doing business as
Broadway By The Sea
Practice address
2725 E Broadway
Long Beach, CA 90803-5431
Phone
(562) 434-4494
NPI assigned
Dec 29, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 NU Primary

Addresses

Primary practice location

2725 E Broadway
Long Beach, CA 90803-5431

Mailing address

2725 E Broadway
Long Beach, CA 90803-5431
Phone (562) 434-4494

Other names 1

  • Broadway By The Sea Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230306001752 AL Part A Provider - Skilled Nursing Facility 9830562214 Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417660978. Details of each certification follow.

Skilled nursing facility certification: CCN 055894

Legal name
DUSK HEALTHCARE, INC.
Doing business as
BROADWAY BY THE SEA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 13, 1968
Last certification
Nov 8, 2024
Beds
98
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Flagstone South, LLC
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2022 in NV
Enrollment address
2725 E Broadway
Long Beach, CA 90803-5431
Nursing home name
BROADWAY BY THE SEA
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Broadway by the SeaCCN 055894 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 13, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9887.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
5Fines totaling $205,642

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jesse Kim Individual Corporate OfficerPresident Dusk Healthcare, Inc. Feb 1, 2023
Clint Macdonald Individual Operational/Managerial ControlOperational Leader Feb 1, 2023
Managing Control - Governing BodyAdministrator Feb 1, 2023
Adp of the SNF Jun 27, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 1, 2022
Adam Willits Individual Corporate DirectorDirector Dusk Healthcare, Inc. Feb 1, 2023
Twomagnets LLC Organization, Pasadena, CA LLC Operational/Managerial Control Feb 1, 2023
Ami Sato Individual Corporate OfficerTreasurer Dusk Healthcare, Inc. Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Sep 9, 2024
Soon Burnam Individual Corporate OfficerSecretary Dusk Healthcare, Inc. Nov 8, 2022
Ronald J Philipp Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing Body Feb 1, 2023
Adp of the SNF Jun 27, 2025

Owners & managing parties with NPI records 1

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

  • Ronald J. Philipp, D.O.
    • Geriatric Medicine (Family Medicine) Physician
    • Long Beach, CA
    • NPI 1932120771

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 60

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

View all 60

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": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1417660978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035431",
            "telephone_number": "562-434-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035431",
            "telephone_number": "562-434-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSK HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "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": "Broadway By The Sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.