Organization Active NPI

Meadowbrook Post Acute LLC

  • Skilled Nursing Facility
  • Hemet, CA
National Provider Identifier
1952065070
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MEADOWBROOK POST ACUTE LLC
Practice address
461 E Johnston Ave
Hemet, CA 92543-7113
Phone
(951) 658-2293
NPI assigned
Oct 25, 2021
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Mr. Mario M Marasigan
Title
Ceo
Phone
(323) 767-3327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

461 E Johnston Ave
Hemet, CA 92543-7113

Mailing address

461 E Johnston Ave
Hemet, CA 92543-7113
Phone (951) 658-2293

Other names 1

  • Meadowbrook Post Acute Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620000631 CA Part A Provider - Skilled Nursing Facility 6608255856 Practice locations: Hemet, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952065070. Details of each certification follow.

Skilled nursing facility certification: CCN 055401

Legal name
MEADOWBROOK POST ACUTE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jun 20, 2024
Beds
64
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 16, 2020 in CA
Enrollment address
461 E Johnston Ave
Hemet, CA 92543-7113
Nursing home name
MEADOWBROOK POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Meadowbrook Post AcuteCCN 055401 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6455.1 residents per day on average

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
Weilee Eddie Yeh Individual Adp of the SNF Jan 1, 2025
Miguel Ruiz Individual Operational/Managerial Control Jan 6, 2023
Adp of the SNF Jan 6, 2023
Mario Marasigan Individual 5% Or Greater Direct Ownership InterestCeo Aug 1, 2020 100%
Corporate OfficerCeo Aug 1, 2020 100%
Operational/Managerial Control Aug 1, 2020 100%

Owners & managing parties with NPI records 1

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

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1952065070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E JOHNSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437113",
            "telephone_number": "951-658-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E JOHNSTON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925437113",
            "telephone_number": "951-658-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MARASIGAN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-767-3327",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadowbrook Post Acute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.