Ag Redlands, LLC
Organization Active NPI Skilled Nursing Facility · Redlands, CA
NPI 1790779288 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1790779288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 240000114 (CA)
- Legal business name
- AG REDLANDS, LLC
- Practice address
- 700 East Highland Avenue
Redlands, CA 92374 - Phone
- (909) 793-2678
- Fax
- (909) 307-9768
- NPI assigned
- Sep 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jacob Wintner
- Title
- Manager
- Phone
- (323) 651-1808
Owners & managing parties with NPI records 1
-
Shantharam Pai, M.D.
Facilities with the same owner 31
Affiliated clinicians 3
-
Nawal Badran, M.D.
-
Raed El Hajjaoui, M.D.
-
Ousama Ismael, MD
Medicare Care Compare: Nursing home
- Listed as
- Highland Care Center of Redlands
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 31, 1971
- Medicare certification status
- Active
- Certified beds
- 80 · 75.4 residents per day on average
- Chain
- Cambridge Healthcare Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 055650
- Legal name
- AG REDLANDS LLC
- Doing business as
- HIGHLAND CARE CENTER OF REDLANDS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 31, 1971
- Last certification
- Feb 21, 2025
- Beds
- 80
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2004
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 11, 2003 in CA
- Enrollment address
- 700 E Highland Ave
Redlands, CA 92374-6233 - Nursing home name
- HIGHLAND CARE CENTER OF REDLANDS
- Affiliated entity
- CAMBRIDGE HEALTHCARE SERVICES
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Preferred Bank |
Operational/Managerial Control | Sep 2, 2024 | |
| Adp of the SNF | Sep 5, 2025 | ||
| Miguel Vidales |
Operational/Managerial Control | Mar 1, 2021 | |
| Managing Control - Governing Body |
Mar 1, 2021 | ||
| Adp of the SNF | Mar 1, 2021 | ||
| BH Alliance |
5% Or Greater Indirect Ownership Interest | Aug 11, 2003 | 5% |
| Linda Lutz |
Operational/Managerial Control | Feb 1, 2012 | |
| Adp of the SNF | Feb 1, 2012 | ||
| Ira E Smedra Living Trust |
5% Or Greater Indirect Ownership Interest | Aug 11, 2003 | 47.5% |
| Win Win Enterprises, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2003 | 47.5% |
| Lance a Hassell |
Operational/Managerial Control | Apr 25, 2022 | |
| Adp of the SNF | Apr 25, 2022 | ||
| Cambridge Healthcare Services LLC |
Operational/Managerial Control | Oct 1, 2013 | |
| Adp of the SNF | Jul 12, 2025 | ||
| Ira Smedra |
5% Or Greater Indirect Ownership Interest |
Oct 1, 2003 | 47.5% |
| Ag Facilities Operations, LLC |
5% Or Greater Direct Ownership Interest | Aug 11, 2003 | 100% |
| Jacob Wintner |
Corporate Officer |
Aug 11, 2003 | 50% |
| Operational/Managerial Control | Aug 11, 2003 | ||
| Jacob Wintner |
Adp of the SNF | Aug 11, 2003 | |
| Paulina Salazar |
Operational/Managerial Control | Dec 14, 2020 | |
| Adp of the SNF | Dec 14, 2020 | ||
| Julie Butenko |
Operational/Managerial Control | Jul 24, 2023 | |
| Adp of the SNF | Jul 24, 2023 | ||
| Shantharam Pai |
Operational/Managerial Control | Sep 9, 2013 | |
| Adp of the SNF | Sep 9, 2013 | ||
| Consolidated Industries, Inc. |
Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Jul 1, 2018 | ||
| Kyle Latterell |
Operational/Managerial Control | Aug 13, 2025 | |
| Managing Control - Governing Body |
Aug 13, 2025 | ||
| Adp of the SNF | Aug 21, 2025 | ||
| Pearson Chimwaza |
Operational/Managerial Control | Feb 12, 2025 | |
| Heidi Capela |
Operational/Managerial Control | Apr 3, 2023 | |
| Adp of the SNF | Apr 3, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031023000040 | CA | Part a Provider - Skilled Nursing Facility | 3072425743 | Practice locations: Redlands, CA |
National Provider Directory
Locations
700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 240000114 | CA | Yes |
Addresses
Primary practice location
700 East Highland Avenue
Redlands, CA 92374
Mailing address
700 East Highland Avenue
Redlands, CA 92374
Phone (909) 793-2678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05650J | Medicaid | CA |
Other names
- Highland Care Center of Redlands
Other providers in Redlands, CA
- Aegis Treatment Centers, LLC
- Aeneas Treatment & Wellness Center
- Affinity Healthcare Ventura, Inc.
- Affordable Care Providers Inc.
- Caitlyn Kendra Affrunti
- Madhu R Agarwal
- James E Agee
- Arun B Agrawal
- Elizabeth Aguayo
- Gloria Aguilar
All providers in Redlands, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.