Alhv, LLC
Organization Active NPI Skilled Nursing Facility · Laguna Hills, CA
NPI 1053946558 · NPPES record last updated Mar 12, 2020
Key facts
- NPI
- 1053946558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ALHV, LLC
- Practice address
- 24552 Paseo de Valencia
Laguna Hills, CA 92653-4236 - Phone
- (949) 458-8880
- NPI assigned
- Mar 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Jared Kirkwood
- Title
- General Counsel
- Phone
- (949) 347-7100
Owners & managing parties with NPI records 1
Affiliated clinicians 7
-
Robert D Cho, M.D.
-
Huan Guu, M.D.
-
Fari Garzam Kamalpour, D.O.
-
Mohana Shivram Kulkarni, M.D.
-
Melissa Siew, M.D.
-
Ali Tabatabai, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Villa Valencia Healthcare Center
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 24, 1991
- Medicare certification status
- Active
- Certified beds
- 59 · 52.6 residents per day on average
- Chain
- Aspen Skilled Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0862727 | Alhv, LLC Dba Villa Valencia Healthcare Center | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555462
- Legal name
- ALHV LLC
- Doing business as
- VILLA VALENCIA HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 24, 1991
- Last certification
- Jun 13, 2024
- Beds
- 59
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Jacaranda Healthcare Group, LLC
- Organization structure
- LLC · Proprietary
- Enrollment address
- 25000 Calle de Los Caballeros Blvd
Laguna Hills, CA 92653-7299 - Nursing home name
- VILLA VALENCIA HEALTHCARE CENTER
- Affiliated entity
- ASPEN SKILLED HEALTHCARE
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Craig Orgill |
Indirect Ownership Interest | Aug 6, 2020 | 1.3% |
| Jared Kirkwood |
Indirect Ownership Interest | Aug 6, 2020 | 0.3% |
| Eric Elsner |
Indirect Ownership Interest | Aug 6, 2020 | 4.08% |
| Jeffrey J Bradshaw |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Aug 6, 2020 | 22.25% | |
| Wells Fargo & Co |
Adp of the SNF | Aug 6, 2020 | |
| Timothy Caslmon |
Operational/Managerial Control | Jan 1, 2023 | |
| Managing Control - Governing Body |
Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Ryan M Case |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Aug 6, 2020 | 31.77% | |
| Marcus J Paxman |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Apr 1, 2022 | 0.01% | |
| Alhv LLC |
Operational/Managerial Control | Aug 6, 2020 | |
| Adp of the SNF | Aug 6, 2020 | ||
| Direct Ownership Interest | Aug 6, 2020 | 100% | |
| Aspen Skilled Healthcare Inc |
Indirect Ownership Interest | Aug 6, 2020 | 100% |
| Aspen Healthcare Services LLC |
Adp of the SNF | Jan 1, 2023 | |
| Spencer Nordfelt |
Operational/Managerial Control | Jan 3, 2022 | |
| Adp of the SNF | Jan 3, 2022 | ||
| Jacaranda Healthcare Group LLC |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Jan 1, 2023 | ||
| Stephen Thompson |
Operational/Managerial Control | Jan 1, 2023 | |
| Managing Control - Governing Body |
Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| East West Bank |
Adp of the SNF | Aug 6, 2020 | |
| Frank Jurado |
Adp of the SNF | Jan 1, 2023 | |
| Vern J Brady |
Adp of the SNF | Jan 1, 2023 | |
| Indirect Ownership Interest | Aug 6, 2020 | 31.95% | |
| Cristina Villahermosa-Calumpang |
Operational/Managerial Control | Mar 31, 2021 | |
| Adp of the SNF | Mar 31, 2021 | ||
| Shruty Parti |
Indirect Ownership Interest | Aug 6, 2020 | 4.08% |
| Roger Nguyen Tran |
Operational/Managerial Control | Jul 1, 2017 | |
| Adp of the SNF | Jul 1, 2017 | ||
| Moss Adams LLP |
Adp of the SNF | Aug 6, 2020 | |
| Peter Bradshaw |
Indirect Ownership Interest | Jul 7, 2023 | 0.09% |
| Rajesh Parti |
Indirect Ownership Interest | Aug 6, 2020 | 4.08% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200825003747 | CA | Part a Provider - Skilled Nursing Facility | 4486071487 | Practice locations: Laguna Hills, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
24552 Paseo de Valencia
Laguna Hills, CA 92653-4236
Mailing address
28202 Cabot Rd Ste 412
Laguna Niguel, CA 92677-1271
Phone (949) 347-7100
NPI Registry JSON
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583971200000",
"number": "1053946558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28202 CABOT RD STE 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": "24552 PASEO DE VALENCIA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534236",
"telephone_number": "949-458-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALHV, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A",
"authorized_official_last_name": "KIRKWOOD",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "949-347-7100"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Laguna Hills, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.