NPIMap

Organization Active NPI

Oakhurst Skilled Care LLC

  • Skilled Nursing Facility
  • Oakhurst, CA
National Provider Identifier
1003697343
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAKHURST SKILLED CARE LLC
Practice address
40131 Ca-49
Oakhurst, CA 93644
Phone
(559) 683-2244
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

40131 Ca-49
Oakhurst, CA 93644

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
O20240731002503 CA Part A Provider - Skilled Nursing Facility 6608313275 Practice locations: Oakhurst, CA

Skilled nursing facility certification: CCN 555115

Legal name
OAKHURST SKILLED CARE LLC
Doing business as
MAJESTIC MOUNTAIN CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 6, 1979
Last certification
Aug 7, 2024
Beds
66
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Jericho Care Group
Organization structure
LLCProprietary
Incorporated
Oct 4, 2023 in CA
Enrollment address
40131 Highway 49
Oakhurst, CA 93644
Nursing home name
MAJESTIC MOUNTAIN CARE CENTER
Affiliated entity
JERICHO CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Majestic Mountain Care CenterCCN 555115
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
Aug 6, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6660.0 residents per day on average
Chain
Jericho Care Group7 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $252,683

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Donald Adam Salow Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 24.5%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Benjamin T Carter Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 24.5%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Scott Kirby Individual 5% Or Greater Indirect Ownership Interest May 1, 2024 51%
Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Jason Parrott Individual Corporate DirectorDirector of Finance Jan 30, 2023
Operational/Managerial Control Jan 30, 2023
Adp of the SNF Jan 30, 2023
Stephen M Grossman Individual Operational/Managerial Control Jan 30, 2023
Adp of the SNF Jan 30, 2023
Chad Coleman Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Bayshire LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 51%
Bayshire Central Valley LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2024 100%

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": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1003697343",
    "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": "40131 CA-49",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-683-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST SKILLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-10",
        "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 Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.