Joshua Tree Pacc, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

JOSHUA TREE PACC, LLC

Practice address

8515 Cholla Ave
Yucca Valley, CA 92284-4247

Phone

(760) 853-4760

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Steven R Powell

Title

President/Member

Phone

(909) 795-2421

Specialties & licenses 1

Addresses

Other names 1

• Joshua Tree Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555772

Legal name

JOSHUA TREE PACC, LLC

Doing business as

JOSHUA TREE POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 8, 2001

Last certification

Sep 20, 2024

Beds

58 (47 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Rockwell Healthcare Services

Organization structure

LLCProprietary

Incorporated

Jul 14, 2022 in CA

Enrollment address

8515 Cholla Ave
Yucca Valley, CA 92284-4247

Nursing home name

JOSHUA TREE POST ACUTE

Affiliated entity

ROCKWELL HEALTHCARE

Listed as

Joshua Tree Post AcuteCCN 555772

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 8, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4755.6 residents per day on average

Chain

Rockwell Healthcare5 facilities in the chain

Penalties (3 years)

3Fines totaling $33,751

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Sepehr Golboo, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1164836896

  5% Or Greater Indirect Ownership Interest, Adp of the SNF

  CMS ownership

Facilities with the same owner 4

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

• Crsca HC, LLC

  • Skilled Nursing Facility
  • Yucaipa, CA
  • NPI 1285202549

  Rockwell Healthcare LLC

  CMS ownership
• Indian Canyon Pacc, LLC

  • Skilled Nursing Facility
  • Yucca Valley, CA
  • NPI 1760118962

  Rockwell Healthcare LLC

  CMS ownership
• Unica HC, LLC

  • Skilled Nursing Facility
  • Mentone, CA
  • NPI 1467020743

  Rockwell Healthcare LLC

  CMS ownership
• Yuhca HC, LLC

  • Skilled Nursing Facility
  • Yucaipa, CA
  • NPI 1659949923

  Rockwell Healthcare LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William J. Fredricksen, PT

  • Physical Therapist
  • Hemet, CA
  • NPI 1467601567
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sepehr Golboo, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1164836896

  Nursing home

  Care Compare affiliation
• Masih Sadeghi, M.D.

  • Internal Medicine Physician
  • Calabasas, CA
  • NPI 1295268977

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1942936141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 E GUASTI RD STE 700",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 CHOLLA AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922844247",
            "telephone_number": "760-853-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA TREE PACC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "909-795-2421"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Tree Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce D Jones
• Jeri Nicole Jones I, NURSE
• Kenny Jones
• Emonnie Leann Jordan
• Karena T Jordan
• Sally Gay Juarez, LPCC
• Justin Forest Jurgens
• Craig Aaron Kaiser, D. O.
• Amit Kakar, PHARM.D.
• Claire Louise Karp, LMFT

• Skilled Nursing Facility in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.