Active NPI
Atmc LLC
- Skilled Nursing Facility
- Tracy, CA
National Provider Identifier
1972865301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ATMC LLC
- Practice address
- 545 W Beverly PL
Tracy, CA 95376-3012 - Phone
- (209) 835-6034
- Fax
- (209) 832-7330
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Bradshaw
- Title
- Manager
- Phone
- (949) 347-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
545 W Beverly PL
Tracy, CA 95376-3012
Mailing address
28202 Cabot Rd
412
Laguna Niguel, CA 92677-1271
Phone (949) 347-7100
Other names 1
- Tracy Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130403000093 | CA | Part A Provider - Skilled Nursing Facility | 4486899085 | Practice locations: Tracy, CA |
Skilled nursing facility certification: CCN 555080
- Legal name
- ATMC LLC
- Doing business as
- TRACY NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1978
- Last certification
- Aug 30, 2024
- Beds
- 62
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Sequoia Healthcare
- Organization structure
- LLC
- Incorporated
- Oct 31, 2011 in CA
- Enrollment address
- 545 W Beverly Place
Tracy, CA 95376-3012 - Nursing home name
- TRACY NURSING AND REHABILITATION CENTER
- Affiliated entity
- ASPEN SKILLED HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Tracy Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 1, 1978
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Aspen Skilled Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Orgill | Indirect Ownership Interest | Jan 1, 2019 | 1.3% |
| Jared Kirkwood | Indirect Ownership Interest | Jan 1, 2019 | 0.3% |
| Colton Rawe | Corporate Officer | Jan 1, 2023 | |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Eric Elsner | Indirect Ownership Interest | Dec 7, 2012 | 4.08% |
| Jeffrey J Bradshaw | 5% Or Greater Indirect Ownership Interest | Dec 7, 2012 | 22.25% |
| Corporate Officer | Jul 1, 2012 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Bryan Fisher | Operational/Managerial Control | Mar 31, 2017 | |
| Adp of the SNF | Mar 31, 2017 | ||
| Sequoia Healthcare Group LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 100% |
| Adp of the SNF | Jan 1, 2023 | ||
| Ryan M Case | 5% Or Greater Indirect Ownership Interest | Dec 7, 2012 | 31.77% |
| Corporate Officer | Jul 1, 2012 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Marcus J Paxman | Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Apr 1, 2022 | 0.01% | |
| Atmc LLC | 5% Or Greater Direct Ownership Interest | Dec 7, 2012 | 100% |
| Operational/Managerial Control | Dec 7, 2012 | ||
| Adp of the SNF | Dec 7, 2012 | ||
| Aspen Skilled Healthcare Inc | 5% Or Greater Direct Ownership Interest | Jul 1, 2012 | 100% |
| 5% Or Greater Indirect Ownership Interest | Dec 7, 2012 | 100% | |
| 5% Or Greater Mortgage Interest | Oct 1, 2019 | 7.92% | |
| Adp of the SNF | Oct 1, 2019 | ||
| Aspen Healthcare Services LLC | Adp of the SNF | Jan 1, 2023 | |
| Wells Fargo Bank, National Association | Adp of the SNF | Dec 7, 2012 | |
| Sunil H Patel | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2013 | ||
| East West Bank | Adp of the SNF | Dec 7, 2012 | |
| Frank Jurado | Adp of the SNF | Jan 1, 2023 | |
| Vern J Brady | 5% Or Greater Indirect Ownership Interest | Dec 7, 2012 | 31.95% |
| Corporate Officer | Jul 1, 2012 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Shruty Parti | Indirect Ownership Interest | Dec 7, 2012 | 4.08% |
| Moss Adams LLP | Adp of the SNF | Dec 7, 2012 | |
| Peter Bradshaw | Indirect Ownership Interest | Jul 7, 2023 | 0.09% |
| Ctcy, LLC | Adp of the SNF | Oct 1, 2019 | |
| Rajesh Parti | Indirect Ownership Interest | Dec 7, 2012 | 4.08% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Tracy, CA
- NPI 1730150848
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Los Gatos, CA
- NPI 1487987772
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1023759362
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Oroville, CA
- NPI 1477209237
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1407272487
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1205316833
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
-
- Skilled Nursing Facility
- Stockton, CA
- NPI 1639519986
Aspen Skilled Healthcare Inc, Sequoia Healthcare Group LLC
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": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406246400000",
"number": "1972865301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28202 CABOT RD",
"address_2": "412",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771271",
"telephone_number": "949-347-7100",
"fax_number": "949-347-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 W BEVERLY PL",
"city": "TRACY",
"state": "CA",
"postal_code": "953763012",
"telephone_number": "209-835-6034",
"fax_number": "209-832-7330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATMC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-12",
"last_updated": "2014-07-25",
"status": "A",
"authorized_official_last_name": "BRADSHAW",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "949-347-7100",
"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": "Tracy Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.