NPIMap

Organization Active NPI

Midnight Healthcare, Inc.

Doing business as Alamitos Belmont Health and Rehabilitation

  • Skilled Nursing Facility
  • Long Beach, CA
National Provider Identifier
1851004477
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MIDNIGHT HEALTHCARE, INC.
Doing business as
Alamitos Belmont Health and Rehabilitation
Practice address
3901 E 4TH St
Long Beach, CA 90814-1632
Phone
(562) 434-8421
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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

3901 E 4TH St
Long Beach, CA 90814-1632

Mailing address

3901 E 4TH St
Long Beach, CA 90814-1632
Phone (562) 434-8421

Other names 1

  • Alamitos Belmont Health and Rehabilitation 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
O20230404002631 CA Part A Provider - Skilled Nursing Facility 4486029469 Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851004477. Details of each certification follow.

Skilled nursing facility certification: CCN 056125

Legal name
MIDNIGHT HEALTHCARE INC
Doing business as
ALAMITOS BELMONT HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 14, 1969
Last certification
Nov 15, 2024
Beds
94
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Flagstone Healthcare South LLC
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2022 in NV
Enrollment address
3901 E 4TH St
Long Beach, CA 90814-1632
Nursing home name
ALAMITOS BELMONT HEALTH AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alamitos Belmont Health and RehabilitationCCN 056125 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 14, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9480.1 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
3Fines totaling $33,017

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
05D0677689Alamitos-Belmont Health and Rehabilitation3901 E 4TH Street, Long Beach, CA 90814Certificate 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
Shaun D Dahl Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyAdministrator Feb 1, 2023
Adp of the SNF Feb 1, 2023
Jesse Kim Individual Corporate OfficerPresident Midnight Healthcare, Inc. Jan 1, 2023
Barry Port Individual Managing Control - Governing BodySole Manager Jan 22, 2015
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Nov 8, 2022 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 1, 2022
Adam Willits Individual Corporate DirectorSole Director Midnight Healthcare, Nov 8, 2022
Ami Sato Individual Corporate OfficerTreasurer Midnight Healthcare, Inc. Sep 9, 2024
Flagstone Healthcare South LLC Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Priority Care Staffing LLC Organization, Brooklyn, NY LLC Operational/Managerial Control Feb 1, 2023
Adp of the SNF Sep 3, 2025
Tyler S de Jong Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyMedical Director Feb 1, 2023
Adp of the SNF Feb 1, 2023
Soon Burnam Individual Corporate OfficerSecretary Midnight Healthcare, Inc. 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.

  • Tyler De Jong, M.D.
    • Internal Medicine Physician
    • Long Beach, CA
    • NPI 1033537493

    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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1851004477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141632",
            "telephone_number": "562-434-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141632",
            "telephone_number": "562-434-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNIGHT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "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": "CMS 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": "Alamitos Belmont Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.