NPIMap

Organization Active NPI

Perris Hills Healthcare LLC

  • Skilled Nursing Facility
  • San Bernardino, CA
National Provider Identifier
1831777564
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PERRIS HILLS HEALTHCARE LLC
Practice address
1335 N Waterman Ave
San Bernardino, CA 92404-5385
Phone
(909) 885-0268
Fax
(909) 380-7006
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1335 N Waterman Ave
San Bernardino, CA 92404-5385

Mailing address

1335 N Waterman Ave
San Bernardino, CA 92404-5385
Phone (909) 885-0268

Other names 1

  • Arrowhead Springs Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220621001449 CA Part A Provider - Skilled Nursing Facility 2264811371 Practice locations: San Bernardino, CA

Skilled nursing facility certification: CCN 055708

Legal name
PERRIS HILLS HEALTHCARE LLC
Doing business as
ARROWHEAD SPRINGS HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1971
Last certification
Apr 24, 2025
Beds
119
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Most recent change of ownership
Feb 1, 2022
Organization structure
LLCProprietary
Incorporated
Mar 29, 2021 in NV
Enrollment address
1335 N Waterman Ave
San Bernardino, CA 92404-5385
Nursing home name
ARROWHEAD SPRINGS HEALTHCARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arrowhead Springs HealthcareCCN 055708
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119109.0 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
05D0575014Arrowhead Springs Healthcare1335 North Waterman Ave, San Bernardino, CA 92404Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 100%
Luther B Mangoba Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Barry Port Individual Corporate OfficerSole Manager Flagstone Central Jan 1, 2019
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Feb 1, 2022
Adam Willits Individual Corporate OfficerSole Manager Perris Hills Healthcar Mar 29, 2021
Chad Keetch Individual Corporate OfficerSee Below Jan 1, 2014
Alvarado Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Yamaliel Sanchez Gonzalez Individual Operational/Managerial ControlOperational Leader Feb 1, 2022
Adp of the SNF Feb 1, 2022
Organization, San Juan Capistrano, CA LLC Adp of the SNF Feb 1, 2022
Soon Burnam Individual Corporate OfficerSecretary Perris Hills Healthcare Feb 1, 2022
Managing Control - Governing BodyAuthorized Official Feb 1, 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 2

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": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1831777564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045385",
            "telephone_number": "909-885-0268",
            "fax_number": "909-380-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045385",
            "telephone_number": "909-885-0268",
            "fax_number": "909-380-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIS HILLS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrowhead Springs Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.