Active NPI
Cedar Operations, LLC
Doing business as Cedar Mountain Post Acute
- Skilled Nursing Facility
- Yucalpa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 240000441
- Legal business name
- CEDAR OPERATIONS, LLC
- Doing business as
- Cedar Mountain Post Acute
- Practice address
- 11970 4TH Street
Yucalpa, CA 92399-5396 - Phone
- (909) 790-2273
- Fax
- (909) 797-2260
- NPI assigned
- Apr 1, 2015
- Last updated
- Jan 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leleand Bruce
- Title
- Executive Vice President
- Phone
- (949) 220-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 240000441 | CA | Primary |
Addresses
Primary practice location
11970 4TH Street
Yucalpa, CA 92399-5396
Mailing address
114 Pacifica
Suite 230
Irvine, CA 92618
Phone (909) 790-2273
Other names 1
- Cedar Mountain Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161212000315 | CA | Part A Provider - Skilled Nursing Facility | 1951613496 | Practice locations: Yucaipa, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1467847996. Details of each certification follow.
Skilled nursing facility certification: CCN 555494
- Legal name
- CEDAR OPERATIONS LLC
- Doing business as
- CEDAR MOUNTAIN POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 22, 1992
- Last certification
- Mar 16, 2023
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Madison Creek Partners
- Organization structure
- LLC
- Incorporated
- Feb 13, 2015 in DE
- Enrollment address
- 11970 4TH St
Yucaipa, CA 92399-2720 - Nursing home name
- CEDAR MOUNTAIN POST ACUTE
- Affiliated entity
- MADISON CREEK PARTNERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cedar Mountain Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 22, 1992
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Madison Creek Partners
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0862565 | Cedar Mountain Post Acute | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Operations LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Yucaipa, CA
- NPI 1609847144
Locations
114 Pacifica
Ste 230
Irvine, CA 92618
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Feb 13, 2015 | ||
| Covey C Christensen | 5% Or Greater Indirect Ownership Interest | Feb 13, 2015 | 100% |
| Corporate Officer | Feb 13, 2015 | ||
| Operational/Managerial Control | Feb 13, 2015 | ||
| Adp of the SNF | Feb 13, 2015 | ||
| Cedar Operations LLC | 5% Or Greater Direct Ownership Interest | Feb 13, 2015 | 100% |
| Adp of the SNF | Feb 13, 2015 | ||
| Madison Creek Partners LLC | 5% Or Greater Direct Ownership Interest | Feb 13, 2015 | 100% |
| Operational/Managerial Control | Feb 13, 2015 | ||
| Adp of the SNF | Jun 28, 2025 | ||
| Amber M Hopkins | Operational/Managerial Control | Dec 1, 2021 | |
| Adp of the SNF | Dec 1, 2021 | ||
| Robert M Dalton | Operational/Managerial Control | Jun 1, 2022 | |
| Adp of the SNF | Jun 1, 2022 | ||
| Jean Claude Hage | Operational/Managerial Control | Jan 1, 2012 | |
| Adp of the SNF | Jan 1, 2012 | ||
| Michael Joseph Clegg | Corporate Officer | Jun 26, 2023 | |
| Operational/Managerial Control | Jun 26, 2023 | ||
| Adp of the SNF | Jun 26, 2023 |
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Dinuba Rehabilitations & Nursing
- Skilled Nursing Facility
- Dinuba, CA
- NPI 1356746606
Madison Creek Partners LLC
-
dba Madison Grove Post Acute
- Skilled Nursing Facility
- Redlands, CA
- NPI 1871980722
Madison Creek Partners LLC
-
dba Parkway Hills Nursing & Rehabilitation
- Skilled Nursing Facility
- La Mesa, CA
- NPI 1174926448
Madison Creek Partners LLC
-
dba Boulder Creek Post Acute
- Skilled Nursing Facility
- Poway, CA
- NPI 1073902672
Madison Creek Partners LLC
-
dba Pioneer Health Care Center
- Skilled Nursing Facility
- Rocky Ford, CO
- NPI 1346697471
Madison Creek Partners LLC
-
dba Glenwood Springs Healthcare
- Skilled Nursing Facility
- Glenwood Springs, CO
- NPI 1932556073
Madison Creek Partners LLC
-
- Skilled Nursing Facility
- Colorado Springs, CO
- NPI 1235563958
Madison Creek Partners LLC
-
- Skilled Nursing Facility
- Castle Rock, CO
- NPI 1073061032
Madison Creek Partners LLC
-
- Skilled Nursing Facility
- Lakewood, CO
- NPI 1073957908
Madison Creek Partners LLC
-
- Skilled Nursing Facility
- Colorado Springs, CO
- NPI 1912331604
Madison Creek Partners LLC
-
dba Paonia Care & Rehabilitation Center
- Skilled Nursing Facility
- Paonia, CO
- NPI 1053768192
Madison Creek Partners LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1376605717
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483401600000",
"number": "1467847996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 PACIFICA",
"address_2": "SUITE 230",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "909-790-2273",
"fax_number": "909-797-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11970 4TH STREET",
"city": "YUCALPA",
"state": "CA",
"postal_code": "923995396",
"telephone_number": "909-790-2273",
"fax_number": "909-797-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-01",
"last_updated": "2017-01-03",
"status": "A",
"authorized_official_last_name": "BRUCE",
"authorized_official_first_name": "LELEAND",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "949-220-2000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "240000441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Mountain Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.