Children's Recovery Center 2, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

CHILDREN'S RECOVERY CENTER 2, LLC

Doing business as

Saratoga Pediatric Subacute

Practice address

13425 Sousa Lane
Saratoga, CA 95070

Phone

(408) 340-1568

Fax

(408) 866-8144

NPI assigned

Sep 22, 2006

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Shawn McGuire

Title

President/Ceo

Phone

(408) 340-1568

Specialties & licenses 1

Addresses

Other names 1

• Saratoga Pediatric Subacute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033219019. Details of each certification follow.

• CCN 555204 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555204

Legal name

CHILDRENS RECOVERY CENTER 2 LLC

Doing business as

CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA P

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 15, 1985

Last certification

Jul 23, 2024

Beds

37

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 22, 2015 in CA

Enrollment address

13425 Sousa LN
Saratoga, CA 95070-4637

Nursing home name

CHILDRENS HC ORG NO CA SARATOGA PEDIATRIC SUBACUTE

Listed as

Childrens HC Org No Ca Saratoga Pediatric SubacuteCCN 555204 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 15, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3731.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Joseph Vincent Dicarlo, M.D.

  • Pediatric Critical Care Medicine Physician
  • Campbell, CA
  • NPI 1669547501

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

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

• Children's Recovery Center 1, LLC

  dba Children's Recovery Center

  • Children's Hospital
  • Campbell, CA
  • NPI 1114006830

  Innovations Health Systems LLC

  CMS ownership

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1033219019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 SOUSA LANE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-340-1568",
            "fax_number": "408-866-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 SOUSA LANE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-340-1568",
            "fax_number": "408-866-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S RECOVERY CENTER 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-340-1568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Pediatric Subacute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saratoga Pediatric Subacute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline T Cheng, M.D
• Cherissa W Chong, DMD, Ms, Inc
• Chia CHI, D.D.S.
• Yu-Chih Chiang, L.AC
• Katelyn Chilcote
• Children's Recovery Center 2, LLC (Saratoga Pediatric Subacute)
• Nathan Brandon Ching, DDS
• Hao Kun Chuang
• Richard Cohen, MD
• Angela Marie Condie, M.D.

• Pediatric Skilled Nursing Facility in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.