NPIMap

Organization Active NPI

THC - Orange County, LLC

Doing business as Kindred Hospital - Ontario

  • Long Term Care Hospital
  • Ontario, CA
National Provider Identifier
1043395742
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
240000561 Issued in CA
Legal business name
THC - ORANGE COUNTY, LLC
Doing business as
Kindred Hospital - Ontario
Practice address
550 N Monterey Ave
Ontario, CA 91764
Phone
(909) 391-0333
Fax
(909) 391-2892
NPI assigned
Oct 25, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Johnetta Traylor
Title
Administrator
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 240000561 CA Primary

Addresses

Primary practice location

550 N Monterey Ave
Ontario, CA 91764

Mailing address

550 N Monterey Ave
Ontario, CA 91764-3318
Phone (909) 391-0333

Other identifiers 2

IdentifierTypeStateIssuer
HSP30041KMedicaidCA
ZZZ94036ZOtherCABLUE CROSS

Other names 1

  • Kindred Hospital - Ontario Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030310000007 CA Part A Provider - Hospital 8426967795 Practice locations: Ontario, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1043395742. Details of each certification follow.

Hospital certification: CCN 052037

Legal name
THC - ORANGE COUNTY LLC
Doing business as
KINDRED HOSPITAL - ONTARIO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 1995
Last certification
Apr 28, 2021
Beds
91
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 1, 2001 (1 total)
Organization structure
LLCProprietary
Enrollment address
550 N Monterey Ave
Ontario, CA 91764-3318
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 050041

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VENCOR HOSPITAL - ONTARIO
Certification status
Terminated Other: provider status change, Jan 31, 1995
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1977
Last certification
Mar 20, 1990
Beds
193
Ownership / control type
Private (for profit)
Most recent change of ownership
Aug 1, 1994 (3 total)
Facility address
550 N Monterey Ave
Ontario, CA 91764

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital OntarioCCN 052037 · All quality measures
Ownership
For profit
Certified
Feb 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Beds
91

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0564022Kindred Hospital Ontario550 N Monterey Ave, Ontario, CA 91764AccreditationJan 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
THC Orange County Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

300 N Euclid Ave
Ste B
Upland, CA 91786
Phone (909) 217-5427

536 E Foothill Blvd
Ste B
Upland, CA 91786

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Sep 2, 1994 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Feb 26, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President, Tax Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Julie Myers Individual Operational/Managerial ControlChief Executive Officer Aug 1, 2025
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Jul 2, 2018

Facilities with the same owner 97

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

  • KND Development 52, L.L.C.

    dba Kindred Hospital Baldwin Park

    • Long Term Care Hospital
    • Baldwin Park, CA
    • NPI 1689984668

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Development 53, L.L.C.

    dba Kindred Hospital South Bay

    • Long Term Care Hospital
    • Gardena, CA
    • NPI 1215247978

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Development 54, L.L.C.

    dba Kindred Hospital Riverside

    • Long Term Care Hospital
    • Perris, CA
    • NPI 1013227099

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Development 55, L.L.C.

    dba Kindred Hospital Rancho

    • Long Term Care Hospital
    • Rancho Cucamonga, CA
    • NPI 1205146289

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Real Estate 40, LLC

    dba Kindred Hospital Paramount

    • Long Term Care Hospital
    • Paramount, CA
    • NPI 1093275786

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Real Estate 40, LLC

    dba Kindred Hospital Paramount (Acute Rehab Unit)

    • Rehabilitation Hospital
    • Paramount, CA
    • NPI 1578159661

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Southern California Specialty Care, LLC

    dba Kindred Hospital - La Mirada

    • Long Term Care Hospital
    • La Mirada, CA
    • NPI 1033294723

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Los Angeles

    • Long Term Care Hospital
    • Los Angeles, CA
    • NPI 1447335146

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Westminster

    • Long Term Care Hospital
    • Westminster, CA
    • NPI 1528143179

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Brea

    • Long Term Care Hospital
    • Brea, CA
    • NPI 1780768416

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - San Gabriel Valley

    • Long Term Care Hospital
    • West Covina, CA
    • NPI 1942385224

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba d/b/a Kindred Hospital - San Diego

    • Long Term Care Hospital
    • San Diego, CA
    • NPI 1992880512

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1043395742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MONTEREY AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643318",
            "telephone_number": "909-391-0333",
            "fax_number": "909-391-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MONTEREY AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91764",
            "telephone_number": "909-391-0333",
            "fax_number": "909-391-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - ORANGE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "240000561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30041K",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ94036Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Ontario",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Ontario",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.