Meadowbrook Village Christian Retirement Community

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY

Practice address

100 Holland GLN
Escondido, CA 92026-1354

Phone

(760) 746-2500

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Mark Memmelaar

Title

Executive Director

Phone

(760) 746-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555906

Legal name

MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Nov 1, 2017

Last certification

Oct 31, 2024

Beds

19

Ownership / control type

Other Nonprofit

Organization structure

CorporationNon-profit

Incorporated

Sep 2, 2004 in CA

Enrollment address

100 Holland GLN
Escondido, CA 92026-1354

Nursing home name

MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY

Listed as

Meadowbrook Village Christian Retirement CommunityCCN 555906 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare

Ownership

Non profit - Other

Certified

Nov 1, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

1913.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Practitioners 7

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

• Eliane Chan

  • Physical Therapist
  • Escondido, CA
  • NPI 1043804974
  NPD (past)
• Meghan Martin, MS OTR/L

  • Occupational Therapist
  • Escondido, CA
  • NPI 1831763994
  NPD (past)
• Paul Ochoa, PT, DPT

  • Physical Therapist
  • Escondido, CA
  • NPI 1225988876
  NPD (past)
• Kyle Rasmussen

  • Physical Therapist
  • Escondido, CA
  • NPI 1386283802
  NPD (past)
• Nicole Nadine Rubis, CCC-SLP

  • Speech-Language Pathologist
  • Escondido, CA
  • NPI 1457990160
  NPD (past)
• Kathleen Mackay Swauger

  • Speech-Language Pathologist
  • Escondido, CA
  • NPI 1447865035
  NPD (past)
• Chelsea A Upham

  • Occupational Therapist
  • Escondido, CA
  • NPI 1891362026
  NPD (past)

Affiliated clinicians 1

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

• Emmet Lee, M.D.

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1558326801

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1437520400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOLLAND GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261354",
            "telephone_number": "760-746-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLAND GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261354",
            "telephone_number": "760-746-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MEMMELAAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-746-2500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre-Paul Joseph McPherson
• Edward Joseph McShane, LCSW
• Khyler McWhorter
• Me Pivot Holdings, LLC
• Meadowbrook Hospice Inc
• Alexis Nichol Means
• Clarisse Mecono Acero
• Medical Massage Clinic, LLC
• Matthew Lee Medicus
• Alma E Medina, VN 257240

• Skilled Nursing Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.