Active NPI
Cedarwood Post Acute LLC
- Skilled Nursing Facility
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CEDARWOOD POST ACUTE LLC
- Practice address
- 1090 Rio LN
Sacramento, CA 95822-1706 - Phone
- (916) 446-2506
- NPI assigned
- Mar 7, 2022
- Last updated
- Mar 16, 2023
- 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
- Robert Brandi
- Title
- Manager
- Phone
- (916) 677-7416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1090 Rio LN
Sacramento, CA 95822-1706
Mailing address
1090 Rio LN
Sacramento, CA 95822-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220727001950 | CA | Part A Provider - Skilled Nursing Facility | 9234511916 | Practice locations: Sacramento, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639826803. Details of each certification follow.
Skilled nursing facility certification: CCN 055296
- Legal name
- CEDARWOOD POST ACUTE, LLC
- Doing business as
- CEDARWOOD POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1969
- Last certification
- Aug 23, 2024
- Beds
- 51
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jan 19, 2022 in CA
- Enrollment address
- 1090 Rio LN
Sacramento, CA 95822-1706 - Nursing home name
- CEDARWOOD POST ACUTE
- Affiliated entity
- SPYGLASS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cedarwood Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1969
- Medicare certification status
- Active
- Certified beds
- 51
- Chain
- Spyglass Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Rosendo Mayoral | Operational/Managerial Control | Mar 1, 2022 | |
| Adp of the SNF | Mar 1, 2022 | ||
| Michael Crummie | Operational/Managerial Control | Mar 21, 2022 | |
| Adp of the SNF | Mar 21, 2022 | ||
| Spyglass Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2023 | 50% |
| Operational/Managerial Control | Jun 1, 2023 | ||
| Adp of the SNF | Jun 13, 2025 | ||
| Nita Shrestha | Operational/Managerial Control | Mar 22, 2022 | |
| Adp of the SNF | Mar 22, 2022 | ||
| Brady O'Shea | 5% Or Greater Indirect Ownership Interest | Jun 1, 2023 | 5% |
| Oakwood Health LLC | Operational/Managerial Control | Mar 1, 2022 | |
| Adp of the SNF | Jun 13, 2025 | ||
| Linda Saephanh | Operational/Managerial Control | Jul 8, 2024 | |
| Adp of the SNF | Jul 8, 2024 | ||
| Shane McCormack | 5% Or Greater Indirect Ownership Interest | Jun 1, 2023 | 5% |
| Gregory G Smith | Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Sahar Shekiab | Operational/Managerial Control | Jan 26, 2024 | |
| Adp of the SNF | Jan 26, 2024 | ||
| Robert Brandi | 5% Or Greater Indirect Ownership Interest | Jun 1, 2023 | 20% |
| Corporate Officer | Jun 1, 2023 | ||
| Operational/Managerial Control | Jun 1, 2023 | ||
| Adp of the SNF | Jun 1, 2023 | ||
| Amm Trust | 5% Or Greater Direct Ownership Interest | Jun 1, 2023 | 25% |
| Ryan C McCormack | 5% Or Greater Indirect Ownership Interest | Jun 1, 2023 | 20% |
| Corporate Officer | Jun 1, 2023 | ||
| Operational/Managerial Control | Jun 1, 2023 | ||
| Adp of the SNF | Jun 1, 2023 | ||
| Glenda Monterroso | Operational/Managerial Control | Jul 23, 2024 | |
| Adp of the SNF | Jul 23, 2024 | ||
| Brennan McCormack | Operational/Managerial Control | Mar 6, 2023 | |
| Adp of the SNF | Mar 6, 2023 | ||
| Cheri Cody | Operational/Managerial Control | Oct 27, 2023 | |
| Adp of the SNF | Oct 27, 2023 | ||
| Joshua Gastwirth | 5% Or Greater Direct Ownership Interest | Jun 1, 2023 | 25% |
| Daniel Jojola | Operational/Managerial Control | Oct 11, 2024 | |
| Adp of the SNF | Oct 11, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1952322596
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1932856200
Amm Trust, Oakwood Health LLC, Spyglass Healthcare LLC
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1437896081
Amm Trust, Oakwood Health LLC, Spyglass Healthcare LLC
-
dba Golden Harbor Healthcare Center
- Skilled Nursing Facility
- Hayward, CA
- NPI 1073372207
Spyglass Healthcare LLC
-
dba Mountain View Healthcare Center
- Skilled Nursing Facility
- Mountain View, CA
- NPI 1427770692
Spyglass Healthcare LLC
-
dba Pacific Hills Post Acute
- Skilled Nursing Facility
- Morgan Hill, CA
- NPI 1538973607
Spyglass Healthcare LLC
-
dba Morgan Hill Healthcare Center
- Skilled Nursing Facility
- Morgan Hill, CA
- NPI 1801504527
Amm Trust, Spyglass Healthcare LLC
-
dba The Win Post-Acute
- Skilled Nursing Facility
- Santa Clara, CA
- NPI 1003643735
Spyglass Healthcare LLC
-
dba Manresa Healthcare Center
- Skilled Nursing Facility
- Watsonville, CA
- NPI 1376350363
Spyglass Healthcare LLC
-
dba Eden Healthcare Center
- Skilled Nursing Facility
- Hayward, CA
- NPI 1144913880
Spyglass Healthcare LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1646611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1639826803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 RIO LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958221706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 RIO LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958221706",
"telephone_number": "916-446-2506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDARWOOD POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-07",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A",
"authorized_official_last_name": "BRANDI",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-677-7416"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.