NPIMap

Organization Active NPI

Manor Care of Palm Desert Ca LLC

Doing business as ManorCare Health Services

  • Skilled Nursing Facility
  • Palm Desert, CA
National Provider Identifier
1972540714
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000317 Issued in CA
Legal business name
MANOR CARE OF PALM DESERT CA LLC
Doing business as
ManorCare Health Services
Practice address
74350 Country Club Dr
Palm Desert, CA 92260-1608
Phone
(760) 341-0261
Fax
(760) 779-1563
NPI assigned
Jun 1, 2006
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mr. Martin D Allen
Title
Director
Phone
(419) 252-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000317 CA Primary

Addresses

Primary practice location

74350 Country Club Dr
Palm Desert, CA 92260-1608

Mailing address

333 N Summit St
Toledo, OH 43604-2615
Phone (419) 252-5500

Other identifiers 2

IdentifierTypeStateIssuer
LTC55339FMedicaidCA
1972540714MedicaidCA

Other names 1

  • ManorCare Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000661 CA Part A Provider - Skilled Nursing Facility 1759465800 Practice locations: Palm Desert, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972540714. Details of each certification follow.

Skilled nursing facility certification: CCN 555339

Legal name
MANOR CARE OF PALM DESERT CA, LLC
Doing business as
PROMEDICA SKILLED NURSING AND REHABILITATION (PALM DESERT)
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 9, 1989
Last certification
Jan 10, 2025
Beds
178
Ownership / control type
Limited Liability Corporation
Organization structure
LLCNon-profit
Incorporated
Jul 24, 2007 in DE
Enrollment address
74350 Country Club Dr
Palm Desert, CA 92260-1608

Care Compare: Nursing home

Medicare Care Compare
Listed as
Desert Springs Post AcuteCCN 555339 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 9, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
178165.5 residents per day on average
Penalties (3 years)
3Fines totaling $74,424

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

74350 Country Club Dr
Palm Desert, CA 92260
Phone (760) 341-0261

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Terrence G Metzger Individual Corporate OfficerTreasurer Nov 1, 2023
Martin D Allen Individual Corporate DirectorSole Director Sep 30, 2012
Operational/Managerial ControlChain Home Office Administrator Sep 22, 2017
HCR Manor Care Services LLC Organization, Toledo, OH LLC, Non-profit Operational/Managerial Control Dec 21, 2007
HCR Healthcare, LLC Organization, Toledo, OH LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2007 100%
Dean Shipman Individual W-2 Managing EmployeeAvp Reimbursement Services May 1, 2016
Luke Pile Individual Corporate OfficerPresident Jan 31, 2021
Kathryn H Hoops Individual Corporate OfficerVice President Nov 7, 2007
Stephen M Sadowski Individual Corporate OfficerSecretary Nov 1, 2023
HCR IV Healthcare, LLC Organization, Toledo, OH LLC, Non-profit 5% Or Greater Direct Ownership Interest Dec 21, 2007 100%
HCR II Healthcare, LLC Organization, Toledo, OH LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2007 100%
Andrea Sype Individual Corporate OfficerVice President Jan 1, 2021
HCR Manorcare, Inc. Organization, Toledo, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2018 100%
HCR III Healthcare, LLC Organization, Toledo, OH LLC, Non-profit 5% Or Greater Indirect Ownership Interest Dec 21, 2007 100%
James Stewart Individual Contracted Managing EmployeeAdministrator Jul 1, 2023
Promedica Health System Inc Organization, Toledo, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2018 100%

Facilities with the same owner 15

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

View all 15

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1972540714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74350 COUNTRY CLUB DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601608",
            "telephone_number": "760-341-0261",
            "fax_number": "760-779-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF PALM DESERT CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55339F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972540714",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N St 6th #900a",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ManorCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.