Skilled Mirage LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SKILLED MIRAGE LLC

Practice address

72201 Country Club Dr
Rancho Mirage, CA 92270-4001

Phone

(760) 340-5999

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Scott Kirby

Title

Ceo

Phone

(619) 201-5888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555775

Legal name

SKILLED MIRAGE LLC

Doing business as

BAYSHIRE RANCHO MIRAGE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jul 19, 2001

Last certification

Apr 24, 2025

Beds

45

Ownership / control type

Individual

Most recent change of ownership

Aug 29, 2014

Organization structure

LLCProprietary

Enrollment address

72201 Country Club Dr
Rancho Mirage, CA 92270-4001

Nursing home name

BAYSHIRE RANCHO MIRAGE

Affiliated entity

BAYSHIRE SENIOR COMMUNITIES

Listed as

Bayshire Rancho MirageCCN 555775 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

For profit - Individual

Certified

Jul 19, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4542.5 residents per day on average

Chain

Bayshire Senior Communities7 facilities in the chain

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 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

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

• Abdallah Nazmi Abu-Samrah, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1699031450

  Nursing home

  Care Compare affiliation
• Ravinderpal S Mann, M.D.

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1568480721

  Nursing home

  Care Compare affiliation
• Dharmavijaypal Reddy Narayan, M.D.

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1215006762

  Nursing home

  Care Compare affiliation
• Arek Touloumdjian, MD

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1679036289

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1710582101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72201 COUNTRY CLUB DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72201 COUNTRY CLUB DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704001",
            "telephone_number": "760-340-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED MIRAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Sinha, MD
• Amanda Jennifer Monroe Sipovac, PA-C
• Alyssa Hope Siqueiros
• Kendall Renee Sitarski, PA
• Pushpinder Singh Sivia, MD
• Skulski MD PC
• Ryszard Skulski, M.D.
• Sleep Diagnostic Center of Rancho Mirage
• Sleep Treatment Partners
• Sleepmed of California

• Skilled Nursing Facility in Rancho Mirage, CA
• Providers in Rancho Mirage, 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 Dec 2, 2020; 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.