NPIMap

Organization Active NPI

Laurel Avenue LLC

  • Skilled Nursing Facility
  • Redlands, CA
National Provider Identifier
1871980722
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAUREL AVENUE LLC
Practice address
1618 Laurel Ave
Redlands, CA 92373-4838
Phone
(909) 792-6050
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Jeanne Steele
Title
Business Office Manager
Phone
(909) 792-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1618 Laurel Ave
Redlands, CA 92373-4838

Mailing address

701 Palomar Airport Rd
Suite 300
Carlsbad, CA 92011-1027
Phone (858) 200-6145

Other names 1

  • Madison Grove Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507002057 CA Part A Provider - Skilled Nursing Facility 1658690912 Practice locations: Redlands, CA

Skilled nursing facility certification: CCN 555350

Legal name
LAUREL AVENUE LLC
Doing business as
TERRACINA POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 7, 1989
Last certification
Apr 25, 2022
Beds
243
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Madison Creek Partners
Organization structure
LLCProprietary
Incorporated
Mar 10, 2015 in DE
Enrollment address
1618 Laurel Ave
Redlands, CA 92373-4838
Nursing home name
MADISON GROVE POST ACUTE
Affiliated entity
MADISON CREEK PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Madison Grove Post AcuteCCN 555350
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 7, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
243228.9 residents per day on average
Chain
Madison Creek Partners13 facilities in the chain
Penalties (3 years)
2Fines totaling $9,110

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Covey C Christensen Individual 5% Or Greater Indirect Ownership InterestCeo Apr 5, 2015 100%
Corporate OfficerCeo Apr 5, 2015
Operational/Managerial ControlCeo Apr 5, 2015
Laurel Avenue LLC Organization, Mission Viejo, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 5, 2015 100%
Madison Creek Partners LLC Organization, Mission Viejo, CA LLC 5% Or Greater Indirect Ownership Interest Apr 5, 2015 100%

Facilities with the same owner 11

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1871980722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALOMAR AIRPORT RD",
            "address_2": "SUITE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111027",
            "telephone_number": "858-200-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 LAUREL AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734838",
            "telephone_number": "909-792-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "909-792-6050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Grove Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.