NPIMap

Organization Active NPI

Front Porch Communities and Services

  • Skilled Nursing Facility
  • Pacific Grove, CA
National Provider Identifier
1801569306
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRONT PORCH COMMUNITIES AND SERVICES
Practice address
651 Sinex Ave
Pacific Grove, CA 93950-4253
Phone
(831) 373-3111
Fax
(831) 373-2140
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Grant Edelstone
Title
Sr. Director Risk Managment
Phone
(925) 956-7360

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

651 Sinex Ave
Pacific Grove, CA 93950-4253

Mailing address

2185 N California Blvd Ste 215
Walnut Creek, CA 94596-3566
Phone (415) 823-5354

Other names 1

  • Canterbury Woods Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220609002444 CA Part A Provider - Skilled Nursing Facility 6608783337 Practice locations: Pacific Grove, CA

Skilled nursing facility certification: CCN 055303

Legal name
FRONT PORCH COMMUNITIES AND SERVICES
Doing business as
CANTERBURY WOODS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Nov 9, 1972
Last certification
Sep 13, 2024
Beds
24
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Front Porch Communities and Services
Organization structure
CorporationNon-profit
Incorporated
Jun 20, 1995 in CA
Enrollment address
651 Sinex Ave
Pacific Grove, CA 93950-4253
Nursing home name
CANTERBURY WOODS
Affiliated entity
FRONT PORCH

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Canterbury WoodsCCN 055303
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Nov 9, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2415.9 residents per day on average
Chain
Front Porch9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0590831Canterbury Woods651 Sinex Avenue, Pacific Grove, CA 93950Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Front Porch Communities and Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 29

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

NameRoleSinceShare
Mary McMullin Individual Operational/Managerial Control Apr 1, 2025
Rachel Vranich Individual Corporate OfficerSecretary Jun 17, 2022
Organization, Long Beach, CA LLC, Consulting firm Adp of the SNF Oct 3, 2023
Christopher Ichien Individual Operational/Managerial Control Jan 27, 2026
Organization, Encino, CA Corporation Adp of the SNF Dec 31, 2017
Kevin B Kroeker Individual Corporate DirectorDirector Jan 1, 2018
Organization, Santa Ana, CA Corporation, Consulting firm Adp of the SNF Sep 5, 2025
Vincent F Forte Individual Corporate DirectorDirector Apr 1, 2021
Sean Michael Kelly Individual Corporate OfficerChief Executive Officer Mar 6, 2023
Operational/Managerial Control Mar 6, 2023
Merza Nabor-Andoy Individual Operational/Managerial Control Mar 24, 2022
Organization, Louisville, KY Corporation Adp of the SNF May 1, 2003
Organization, Weehawken, NJ Corporation, Financial institution Adp of the SNF Apr 1, 2022
Nancy a Duranteau Individual Corporate DirectorDirector Apr 1, 2021
Peter D. Spencer Individual Corporate Director Jan 1, 2026
Diemlan Tonnu Individual Corporate DirectorDirector Jan 1, 2018
Eduardo T Salvador Individual Corporate OfficerChief Financial Officer Oct 3, 2017
Operational/Managerial Control Apr 1, 2021
Ryan Banner Individual Operational/Managerial Control Feb 17, 2025
Adp of the SNF Jul 9, 2025
Gevork Akopyan Individual Operational/Managerial Control Oct 12, 2022
Oliver W Wesson Individual Corporate DirectorDirector Jan 1, 2017
Front Porch Communities and Services Organization, Glendale, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Adp of the SNF Apr 1, 2022
Kari Olson Individual Operational/Managerial Control Apr 1, 2021
Shaida Behnam Individual Operational/Managerial Control Aug 14, 2024
Adp of the SNF Aug 14, 2024
Susan L Whittaker Individual Corporate DirectorDirector Jan 23, 2018
Marion B McGovern Individual Corporate DirectorDirector Jan 1, 2017
Organization, Wausau, WI Consulting firm Adp of the SNF Jul 8, 2025
Laura P Jacobs Individual Corporate DirectorDirector Jan 1, 2019
Joanne Handy Individual Corporate DirectorDirector Apr 1, 2021
Susan Macango Individual Operational/Managerial Control May 4, 2026
Organization, Springfield, MO Consulting firm Adp of the SNF Apr 1, 2022

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunny View ManorCupertino, CA, CCN 555342 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2006
Oct 1, 2006
Rehab AllianceCarlsbad, CA, CCN 056496 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Oct 1, 2006
Oct 1, 2006
Villa Gardens Health Care UnitPasadena, CA, CCN 555429 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2006
Claremont Manor Care CenterClaremont, CA, CCN 555085 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2021
San Francisco TowersSan Francisco, CA, CCN 555728 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022
Webster HousePalo Alto, CA, CCN 555156 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022
St. Paul'S TowersOakland, CA, CCN 055156 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022
Spring Lake VillageSanta Rosa, CA, CCN 555268 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

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

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1801569306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 N CALIFORNIA BLVD STE 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963566",
            "telephone_number": "415-823-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SINEX AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504253",
            "telephone_number": "831-373-3111",
            "fax_number": "831-373-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PORCH COMMUNITIES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "EDELSTONE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "SR. DIRECTOR RISK MANAGMENT",
        "authorized_official_telephone_number": "925-956-7360"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canterbury Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific Grove, CA

Sources for this page

Verify at the official NPI Registry.