NPIMap

Organization Active NPI

Clovis Skilled Care LLC

  • Skilled Nursing Facility
  • Clovis, CA
National Provider Identifier
1952014524
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLOVIS SKILLED CARE LLC
Practice address
111 Barstow Ave
Clovis, CA 93612-2225
Phone
(559) 299-2591
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
Scott Kirby
Title
Manager
Phone
(619) 201-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

111 Barstow Ave
Clovis, CA 93612-2225

Mailing address

1817 Avenida del Diablo
Escondido, CA 92029-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114002335 CA Part A Provider - Skilled Nursing Facility 1658728506 Practice locations: Clovis, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952014524. Details of each certification follow.

Skilled nursing facility certification: CCN 056338

Legal name
CLOVIS SKILLED CARE LLC
Doing business as
MORNING STAR POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 26, 1972
Last certification
Dec 10, 2024
Beds
57
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Jericho Care Group
Organization structure
LLCProprietary
Incorporated
Oct 12, 2022 in CA
Enrollment address
111 Barstow Ave
Clovis, CA 93612-2225
Nursing home name
MORNING STAR POST ACUTE
Affiliated entity
JERICHO CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Morning Star Post AcuteCCN 056338 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 26, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5751.4 residents per day on average
Chain
Jericho Care Group7 facilities in the chain

Processed by Care Compare on Aug 1, 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
Kimberly Beatrez Individual Operational/Managerial Control May 10, 2006
Adp of the SNF May 10, 2006
Donald Adam Salow Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 24.5%
Indirect Ownership Interest Dec 1, 2022 24.5%
Sebastian Lopez Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Benjamin T Carter Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 24.5%
Indirect Ownership Interest Dec 1, 2022
Scott Kirby Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 51%
Indirect Ownership Interest Dec 1, 2022 51%
Jason Parrott Individual Operational/Managerial Control Jan 30, 2023
Adp of the SNF Jan 30, 2023
Stephen M Grossman Individual Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2014
Bayshire LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 51%
Bayshire Central Valley LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 100%
Stephen N Badger Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Donna M. Rogers Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Micaela Hernandez Vallejo Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023

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 8

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

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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1952014524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BARSTOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122225",
            "telephone_number": "559-299-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS SKILLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.