NPIMap

Organization Active NPI

Atlantic Memorial Healthcare Associates, Inc.

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1811997570
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000005 Issued in CA
Legal business name
ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.
Practice address
2750 Atlantic Ave
Long Beach, CA 90806-2713
Phone
(562) 424-8101
Fax
(562) 424-9041
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 940000005 CA Primary

Addresses

Primary practice location

2750 Atlantic Ave
Long Beach, CA 90806-2713

Mailing address

2750 Atlantic Ave
Long Beach, CA 90806-2713
Phone (562) 424-8101

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05744HMedicaidCA

Other names 1

  • Atlantic Memorial Healthcare Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000784 CA Part A Provider - Skilled Nursing Facility 4587831342 Practice locations: Long Beach, CA

Skilled nursing facility certification: CCN 055744

Legal name
ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.
Doing business as
ATLANTIC MEMORIAL HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 8, 1967
Last certification
Jan 24, 2025
Beds
104
Ownership / control type
Corporation
Multi-facility organization
Flagstone/ Ensign
Organization structure
CorporationProprietary
Incorporated
Jun 20, 2002 in NV
Enrollment address
2750 Atlantic Ave
Long Beach, CA 90806-2713
Nursing home name
ATLANTIC MEMORIAL HEALTHCARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Atlantic Memorial Healthcare CenterCCN 055744
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
May 8, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10485.3 residents per day on average
Chain
The Ensign Group342 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
05D0686509Atlantic Memorial Healthcare Center2750 Atlantic Ave, Long Beach, CA 90806Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Wilestela Williams Individual Operational/Managerial ControlAdministrator Oct 16, 2015
Managing Control - Governing BodyAdministrator Oct 16, 2015
Adp of the SNF Oct 16, 2015
Jesse Kim Individual Corporate OfficerPresident of Atlantic Memorial Heal Jan 1, 2023
Organization, San Clemente, CA Adp of the SNF Jul 1, 2002
Barry Port Individual Corporate OfficerManager of Flagstone HC South LLC Jul 1, 2002
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2003 100%
Adam Willits Individual Corporate DirectorDirector of Atlantic Memorial Healt Jul 1, 2002
Ami Sato Individual Corporate OfficerTreasurer of Atlantic Memorial Heal Sep 9, 2024
Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2002
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2006 100%
Ctr Partnership LP Organization, San Clemente, CA Adp of the SNF Jul 1, 2002
Caretrust GP LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2002
Organization, San Juan Capistrano, CA Corporation Adp of the SNF May 31, 2025
Caretrust Reit Inc Organization, San Clemente, CA Corporation Adp of the SNF Jul 1, 2002
Organization, San Clemente, CA Corporation Adp of the SNF Jul 1, 2002
Bijan Ghatan Individual Operational/Managerial Control Nov 27, 2023
Managing Control - Governing BodyMedical Director Nov 27, 2023
Adp of the SNF Nov 27, 2023
Queensway Health Holdings LLC Organization, San Clemente, CA LLC Adp of the SNF Jul 1, 2002
Soon Burnam Individual Corporate OfficerSecretary of Atlantic Memorial Heal Feb 1, 2006

Owners & managing parties with NPI records 1

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

  • Bijan Ghatan, M.D.
    • Internal Medicine Physician
    • Carson, CA
    • NPI 1841208964

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1811997570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062713",
            "telephone_number": "562-424-8101",
            "fax_number": "562-424-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062713",
            "telephone_number": "562-424-8101",
            "fax_number": "562-424-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "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": "CA",
            "license": "940000005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05744H",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "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": "Atlantic Memorial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Memorial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.