NPIMap

Organization Active NPI

Morning Glory Healthcare, Inc.

Doing business as Grand Terrace Health Care Center

  • Skilled Nursing Facility
  • Grand Terrace, CA
National Provider Identifier
1740993419
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MORNING GLORY HEALTHCARE, INC.
Doing business as
Grand Terrace Health Care Center
Practice address
12000 Mount Vernon Ave
Grand Terrace, CA 92313-5174
Phone
(909) 825-5221
NPI assigned
Dec 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

12000 Mount Vernon Ave
Grand Terrace, CA 92313-5174

Mailing address

12000 Mount Vernon Ave
Grand Terrace, CA 92313-5174
Phone (909) 825-5221

Other names 1

  • Grand Terrace Health Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418002245 CA Part A Provider - Skilled Nursing Facility 4587039805 Practice locations: Grand Terrace, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740993419. Details of each certification follow.

Skilled nursing facility certification: CCN 055129

Legal name
MORNING GLORY HEALTHCARE INC
Doing business as
GRAND TERRACE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1973
Last certification
Nov 22, 2024
Beds
59
Ownership / control type
Corporation
Multi-facility organization
The Ensign Group Inc
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2022 in NV
Enrollment address
12000 Mount Vernon Ave
Grand Terrace, CA 92313-5174
Nursing home name
GRAND TERRACE HEALTH CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grand Terrace Health Care CenterCCN 055129 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5951.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Flagstone Healthcare Central LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Matthew Scott Individual Corporate OfficerPresident Feb 1, 2023
Brian Haroldsen Individual Operational/Managerial Control Feb 1, 2023
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%
Limited Partnership Interest Feb 1, 2023 100%
Adam Willits Individual Corporate DirectorSole Director Feb 1, 2023
Ami Sato Individual Corporate Officer Sep 9, 2024
Craig Fitch Individual Corporate OfficerSecretary Nov 8, 2022
Andro N Sharobiem Individual Adp of the SNF Oct 2, 2024
Soon Burnam Individual Corporate OfficerTreasurer Nov 8, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1740993419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135174",
            "telephone_number": "909-825-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135174",
            "telephone_number": "909-825-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING GLORY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/XDRReesponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grand Terrace Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Terrace, CA

Sources for this page

Verify at the official NPI Registry.