Organization Active NPI

Anberry Transitional Care LLC

  • Skilled Nursing Facility
  • Merced, CA
National Provider Identifier
1609255637
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ANBERRY TRANSITIONAL CARE LLC
Practice address
1000 W Yosemite Ave
Merced, CA 95348-5111
Phone
(209) 783-9200
NPI assigned
May 22, 2015
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Donald W Gormly Jr.
Title
Member
Phone
(714) 907-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1000 W Yosemite Ave
Merced, CA 95348-5111

Mailing address

1000 W Yosemite Ave
Merced, CA 95348-5111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151117002362 CA Part A Provider - Skilled Nursing Facility 3971813254 Practice locations: Merced, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609255637. Details of each certification follow.

Skilled nursing facility certification: CCN 555901

Legal name
ANBERRY TRANSITIONAL CARE LLC
Doing business as
ANBERRY TRANSITIONAL CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 9, 2016
Last certification
Dec 13, 2024
Beds
120
Ownership / control type
Partnership
Organization structure
LLCProprietary
Enrollment address
1000 W Yosemite
Merced, CA 95340-5141
Nursing home name
ANBERRY POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Anberry Post AcuteCCN 555901 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Dec 9, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12093.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2105846Anberry Transitional Care1000 W Yosemite Ave, Merced, CA 95340Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

17011 Beach Blvd
Ste 1130
Huntington Beach, CA 92647

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
NG 2016 Holdings Trust Dated September 14, 2016 Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Dec 31, 2018 24.75%
David Kuhls Individual W-2 Managing EmployeeAdministrator of the Facility Dec 16, 2016
JH 2016 Holdings Trust Dated November 28, 2016 Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Dec 31, 2018 24.75%
Nancy J Gormly Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2018
Corporate Director Dec 31, 2018
Donald Walter Gormly Individual 5% Or Greater Direct Ownership Interest Dec 31, 2018 50%
Corporate OfficerManager Dec 31, 2018
Corporate DirectorManager Dec 31, 2018
Operational/Managerial ControlManaging Member Nov 20, 2015 50%
Jerry Warren Holloway Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2018
Corporate OfficerManager Dec 31, 2018
Corporate Director Dec 31, 2018
Operational/Managerial ControlManager Dec 31, 2018
DH 2016 Holdings Trust Dated November 28, 2016 Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Dec 31, 2018 24.75%
DG 2016 Holdings Trust Dated September 14, 2016 Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Dec 31, 2018 24.75%
Jerry and Debbie Holloway Revocable Trust Dated February 25, 2002 Organization, Chico, CA 5% Or Greater Indirect Ownership Interest Dec 31, 2018 0.5%
Don and Nancy Gormly Family Trust Dated February 25, 2002 Organization, Huntington Beach, CA 5% Or Greater Indirect Ownership Interest Dec 31, 2018 0.5%
Debra L Holloway Individual 5% Or Greater Indirect Ownership Interest Dec 31, 2018
Corporate Director Dec 31, 2018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1609255637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W YOSEMITE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953485111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W YOSEMITE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953485111",
            "telephone_number": "209-783-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANBERRY TRANSITIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "GORMLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "714-907-7677",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.