Active NPI
Congregational Homes
Doing business as Mt San Antonio Gardens
- Skilled Nursing Facility
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 950000078
- Legal business name
- CONGREGATIONAL HOMES
- Doing business as
- Mt San Antonio Gardens
- Practice address
- 900 E Harrison Ave
Pomona, CA 91767-2075 - Phone
- (909) 624-5061
- Fax
- (909) 626-2126
- NPI assigned
- Nov 25, 2005
- 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
- Ms. Patricia Williams, C.F.O.
- Title
- C.F.O.
- Phone
- (909) 399-1281
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 191500496 | CA | |
| Skilled Nursing Facility | 314000000X | 950000078 | CA | Primary |
Addresses
Primary practice location
900 E Harrison Ave
Pomona, CA 91767-2075
Mailing address
900 E Harrison Ave
Pomona, CA 91767-2075
Phone (909) 624-5061
Other names 1
- MT SAN ANTONIO GARDENS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
Skilled nursing facility certification: CCN 055016
- Legal name
- CONGREGATIONAL HOMES
- Doing business as
- MT SAN ANTONIO GARDENS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jan 1, 1967
- Last certification
- May 30, 2025
- Beds
- 64
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- May 8, 1957 in CA
- Enrollment address
- 900 E Harrison Ave
Pomona, CA 91767-2075 - Nursing home name
- MOUNT SAN ANTONIO GARDENS
Outpatient physical therapy / speech pathology certification: CCN 556516
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MT SAN ANTONIO GARDENS
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Oct 7, 1999
- Last certification
- Sep 15, 2023
- Ownership / control type
- Voluntary Non-Profit Other Than Church
- Facility address
- 900 East Harrison Avenue, Suite 103
Pomona, CA 91767
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mount San Antonio Gardens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 64
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 |
|---|---|---|---|
| 05D0564291 | Mt San Antonio Gardens | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 34
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 |
|---|---|---|---|
| Diane K Stielstra | Corporate Director | Jan 6, 2022 | |
| Operational/Managerial Control | Jan 6, 2022 | ||
| Adp of the SNF | Jan 6, 2022 | ||
| Evelyn D Brown | Corporate Director | Jan 6, 2022 | |
| Operational/Managerial Control | Jan 6, 2022 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Camille Lee | Corporate Director | Jan 1, 2025 | |
| Operational/Managerial Control | Jan 1, 2025 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| John R Whiting | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Kathy Pezdek | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Nicole Weekes | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Michelle L Stoddard | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Leslie J Negritto | Corporate Director | Jan 23, 2020 | |
| Operational/Managerial Control | Jan 23, 2020 | ||
| Adp of the SNF | Jan 23, 2020 | ||
| Ryan R Zimmerman | Corporate Director | Jan 7, 2021 | |
| Operational/Managerial Control | Jan 7, 2021 | ||
| Adp of the SNF | Jan 7, 2021 | ||
| Robert Marriott Medical Corp | Limited Partnership Interest | Jan 1, 2024 | 100% |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Dec 18, 2025 | ||
| Jeffrey K Stark | Corporate Director | Jan 6, 2018 | |
| Operational/Managerial Control | Jan 6, 2018 | ||
| Adp of the SNF | Jan 6, 2018 | ||
| Lisa Atilano | Corporate Officer | Jul 25, 2024 | |
| Operational/Managerial Control | Jul 25, 2024 | ||
| Adp of the SNF | Jul 25, 2024 | ||
| Rachelle M Murphy | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Mary Ann Quay | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| William Wells | Corporate Director | Jan 1, 2024 | |
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Robin J Aspinall | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Wipfli LLP | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Daljinder S Takhar | Corporate Director | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Adp of the SNF | Jan 1, 2022 | ||
| Michael S Strange | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Michael L Vestino | Corporate Director | Jan 6, 2022 | |
| Operational/Managerial Control | Jan 6, 2022 | ||
| Adp of the SNF | Jan 6, 2022 | ||
| Jan Bush | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Eleanor P Brown | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| David J Menefee Libey | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Lina Dina | Operational/Managerial Control | Sep 13, 2021 | |
| Adp of the SNF | Sep 13, 2021 | ||
| Congregational Homes | 5% Or Greater Direct Ownership Interest | Jun 9, 2007 | 100% |
| Operational/Managerial Control | Jun 9, 2007 | ||
| Patricia L Williams | Corporate Officer | Jan 20, 2015 | |
| Operational/Managerial Control | Jan 20, 2015 | ||
| Adp of the SNF | Jan 20, 2015 | ||
| Daryl G Smith | Corporate Director | Jan 6, 2022 | |
| Operational/Managerial Control | Jan 6, 2022 | ||
| Adp of the SNF | Jan 6, 2022 | ||
| Lise Abrams | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Mary Jean Neault | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| John C Harpole | Corporate Director | Jan 1, 2021 | |
| Operational/Managerial Control | Jan 1, 2021 | ||
| Adp of the SNF | Jan 1, 2021 | ||
| Neil B Gerard | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Rolando F Cuaresma | Operational/Managerial Control | Feb 3, 2025 | |
| Adp of the SNF | Feb 3, 2025 | ||
| Citrus Pharmacy | Limited Partnership Interest | Aug 1, 2025 | 100% |
| Operational/Managerial Control | Aug 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Jill Grigsby | Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Citrus Pharmacy
- Long Term Care Pharmacy
- Redlands, CA
- NPI 1720213085
Adp of the SNF, Limited Partnership Interest, Operational/Managerial Control
-
dba Advantage Wound Care
- Surgery Physician
- El Segundo, CA
- NPI 1083883938
Adp of the SNF, Limited Partnership Interest, Operational/Managerial Control
-
- Family Medicine Physician
- Pomona, CA
- NPI 1467562249
Adp of the SNF, Corporate Director, Operational/Managerial Control
Facilities with the same owner 65
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Baywood Court Health Center
- Skilled Nursing Facility
- Castro Valley, CA
- NPI 1043489016
Wipfli LLP
-
dba The Pavilion at Villa Pueblo
- Skilled Nursing Facility
- Pueblo, CO
- NPI 1285060756
Wipfli LLP
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1679382519
Wipfli LLP
-
dba Woodside Lutheran Home
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Wipfli LLP
-
dba Onalaska Care Center
- Skilled Nursing Facility
- Onalaska, WI
- NPI 1033102983
Wipfli LLP
-
dba Bethany St. Joseph Care Center
- Skilled Nursing Facility
- La Crosse, WI
- NPI 1356334205
Wipfli LLP
-
dba Billings Rehabilitation and Nursing
- Skilled Nursing Facility
- Billings, MT
- NPI 1043903420
Wipfli LLP
-
dba Rocky Knoll Health Care Center
- Skilled Nursing Facility
- Plymouth, WI
- NPI 1003988049
Wipfli LLP
-
dba Four Winds Manor and Lodge, Inc.
- Skilled Nursing Facility
- Verona, WI
- NPI 1902895592
Wipfli LLP
-
dba Hanover Hill Health Care Center
- Nursing Facility/Intermediate Care Facility
- Manchester, NH
- NPI 1235245390
Wipfli LLP
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- La Verne, CA
- NPI 1265411730
-
- Physician Assistant
- Pomona, CA
- NPI 1265476485
-
- Physician Assistant
- Fontana, CA
- NPI 1386703098
-
- Internal Medicine Physician
- Upland, CA
- NPI 1083748727
-
- Gerontology Nurse Practitioner
- Duarte, CA
- NPI 1215252010
-
- Physician Assistant
- Pomona, CA
- NPI 1770127375
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1306904628
-
- Sports Medicine (Family Medicine) Physician
- Claremont, CA
- NPI 1134415854
-
- Family Medicine Physician
- Pomona, CA
- NPI 1386645760
-
- Orthopaedic Surgery Physician
- Pasadena, CA
- NPI 1457353062
-
- Orthopaedic Surgery of the Spine Physician
- Arcadia, CA
- NPI 1437313095
-
- Orthopaedic Surgery Physician
- Pomona, CA
- NPI 1982642153
Affiliated clinicians 2
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": "1132876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468972800000",
"number": "1609859461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E HARRISON AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672075",
"telephone_number": "909-624-5061",
"fax_number": "909-626-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E HARRISON AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672075",
"telephone_number": "909-624-5061",
"fax_number": "909-626-2126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONGREGATIONAL HOMES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-25",
"last_updated": "2016-07-20",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "909-399-1281",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.F.O."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "191500496",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "950000078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MT SAN ANTONIO GARDENS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.