NPIMap

Organization Active NPI

Heritage Health Care, Inc.

  • Skilled Nursing Facility
  • Loma Linda, CA
National Provider Identifier
1942273933
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
240000146 Issued in CA
Legal business name
HERITAGE HEALTH CARE, INC.
Doing business as
Heritage Gardens Health Care Center
Practice address
25271 Barton Rd
Loma Linda, CA 92354-3013
Phone
(909) 796-0216
Fax
(909) 799-6656
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Mr. James B. Kilian
Title
Chief Financial Officer
Phone
(909) 796-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 240000146 CA Primary

Addresses

Primary practice location

25271 Barton Rd
Loma Linda, CA 92354-3013

Mailing address

PO Box 3000
Loma Linda, CA 92354-9000
Phone (909) 796-0216

Other identifiers 2

IdentifierTypeStateIssuer
240000146OtherCASTATE LICENSE NUMBER
ZZT05183FMedicaidCA

Other names 1

  • Heritage Gardens Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000989 CA Part A Provider - Skilled Nursing Facility 6709876634 Practice locations: Loma Linda, CA

Skilled nursing facility certification: CCN 055183

Legal name
HERITAGE HEALTH CARE, INC.
Doing business as
HERITAGE GARDENS HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 16, 2025
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Progressive Health Care
Organization structure
CorporationProprietary
Incorporated
Feb 1, 1963 in CA
Enrollment address
25271 Barton Rd
Loma Linda, CA 92354-3013
Nursing home name
HERITAGE GARDENS HEALTH CARE CENTER
Affiliated entity
PROGRESSIVE HEALTH CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Gardens Health Care CenterCCN 055183 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
110101.6 residents per day on average
Chain
Progressive Health Care Centers5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Heritage Gardens Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Patricia B Goings Individual 5% Or Greater Direct Ownership Interest Mar 13, 1992 16%
The Larson Family Trust of 2010 Organization, Rio Rico, AZ Created for acquisition 5% Or Greater Direct Ownership Interest Nov 19, 2013 5.5%
Laura F Armstrong Individual 5% Or Greater Direct Ownership Interest Mar 13, 1992 11%
Helen Louise Larson Revocable Trust Organization, Carmel, CA Created for acquisition 5% Or Greater Direct Ownership Interest Oct 23, 2019 5.5%
Cotton Family Revocable Trust Organization, Loma Linda, CA Created for acquisition 5% Or Greater Direct Ownership Interest May 20, 2016 12.5%
James Barry Kilian Individual Corporate OfficerChief Financial Officer Jan 8, 1998
John F Armstrong Individual 5% Or Greater Direct Ownership Interest Mar 13, 1992 11%
Samuel Scott Goings Individual W-2 Managing EmployeeAdministrator Feb 6, 2018 100%
Gregory S Goings Individual 5% Or Greater Direct Ownership InterestChief Executive Mar 13, 1992 16%
Corporate OfficerChief Executive Officer Jan 1, 2002 16%
Verna J Goings Individual 5% Or Greater Direct Ownership Interest Mar 13, 1992 16%

Facilities with the same owner 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1942273933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923549000",
            "telephone_number": "909-796-0216",
            "fax_number": "909-799-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25271 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543013",
            "telephone_number": "909-796-0216",
            "fax_number": "909-799-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-796-2595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "240000146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "240000146",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05183F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Gardens Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.