NPIMap

Organization Active NPI

Mountain View Child Care, Inc.

  • Children's Rehabilitation Hospital
  • Loma Linda, CA
National Provider Identifier
1003133695
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Rehabilitation HospitalTaxonomy code 283XC2000X
License
550002720 Issued in CA
Legal business name
MOUNTAIN VIEW CHILD CARE, INC.
Practice address
1720 Mountain View Ave
Loma Linda, CA 92354-1727
Phone
(909) 796-6915
Fax
(909) 796-4365
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mr. Douglas Padgett
Title
President
Phone
(909) 796-6915

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 550002720 CA
General Acute Care Hospital 282N00000X 550002720 CA
Children's Hospital 282NC2000X 550002720 CA
Children's Rehabilitation Hospital 283XC2000X 550002720 CA Primary

Addresses

Primary practice location

1720 Mountain View Ave
Loma Linda, CA 92354-1727

Mailing address

1720 Mountain View Ave
Loma Linda, CA 92354-1727
Phone (909) 796-6915

Other names 1

  • Totally Kids Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415002335 CA Part A Provider - Hospital 5294796199 Practice locations: Loma Linda, CA

Hospital certification: CCN 053038

Legal name
MOUNTAIN VIEW CHILD CARE, INC.
Doing business as
TOTALLY KIDS REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Apr 24, 2015
Last certification
Apr 26, 2019
Beds
25
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Sep 7, 1983 in CA
Enrollment address
1720 Mountain View Ave
Loma Linda, CA 92354-1727
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Totally Kids Rehabilitation HospitalCCN 053038
Ownership
For profit
Certified
Apr 24, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Child Care Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1fec57aa-48c4-4598-a98f-f72022b4a4cc/

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Ravindra Rao Individual Corporate DirectorBoard Member Jun 14, 2014
Robert Nydam Individual 5% Or Greater Indirect Ownership InterestLimited Partner Dec 31, 2012 9.92%
Robert a Bilicke Individual W-2 Managing EmployeeSNF Administrator Sep 1, 2021
Margarita M. Gil Individual W-2 Managing EmployeeChief Nursing Officer (Don) Nov 3, 2014
Sallie Lambooy Individual 5% Or Greater Indirect Ownership InterestLimited Partner Dec 31, 2012 9.92%
Pauline B Hennessey Individual W-2 Managing EmployeeVP of Rehabilitation Services Nov 1, 2016
Racquel M Arden Individual W-2 Managing EmployeeVP of Regulatory Compliance Nov 1, 2016
James Nydam Individual 5% Or Greater Indirect Ownership InterestLimited Partner Jan 1, 2018 9.92%
Jack D Nydam Individual 5% Or Greater Indirect Ownership InterestGeneral Partner Jan 1, 2018 9.92%
Mountain View Child Care, Inc. Organization, Loma Linda, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jun 20, 2014 100%
Irwin C Hansen Individual W-2 Managing EmployeeEvp and Coo Dec 16, 2015
Nydam Limited Partnership Organization, Redlands, CA Created for acquisition Limited Partnership Interest Nov 1, 2016 49.6%
Linda L Nydam Individual 5% Or Greater Indirect Ownership InterestLimited Partner Dec 4, 2024 9.92%
Corporate DirectorBoard Member Jan 13, 2022
Douglas C Padgett Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012 21.2%
Corporate OfficerPresident/Ceo Apr 24, 2015
Corporate Director Mar 1, 2000
W-2 Managing EmployeeCeo Apr 24, 2015
Cynthia Capetillo Individual Corporate OfficerCfo Apr 1, 2005
W-2 Managing EmployeeCfo Apr 1, 2005
Cynthia D Padgett Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012 21.2%
Corporate DirectorBoard Member Mar 1, 2000
Blake Rochette Individual Corporate OfficerSecretary Nov 23, 2012
Chad Vercio Individual Corporate DirectorBoard Member Ex Officio Jul 1, 2025
Anh Vu Le Individual Contracted Managing EmployeeChief Medical Officer Jul 1, 2024
Cecelia Callicott Individual Corporate DirectorBoard Member Jun 14, 2014

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Totally Kids Rehabilitation HospitalLoma Linda, CA, CCN 555587 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 20, 2014
Jun 20, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1003133695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOUNTAIN VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541727",
            "telephone_number": "909-796-6915",
            "fax_number": "909-796-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MOUNTAIN VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541727",
            "telephone_number": "909-796-6915",
            "fax_number": "909-796-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHILD CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-796-6915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "550002720",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "550002720",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "550002720",
            "primary": false
        },
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "CA",
            "license": "550002720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Totally Kids Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.