Active NPI
Alhv, LLC
- Skilled Nursing Facility
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
- Last updated
- Mar 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jared Kirkwood
- Title
- General Counsel
- Phone
- (949) 347-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200825003747 | CA | Part A Provider - Skilled Nursing Facility | 4486071487 | Practice locations: Laguna Hills, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053946558. Details of each certification follow.
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
- 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
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Villa Valencia Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 24, 1991
- Medicare certification status
- Active
- Certified beds
- 59
- Chain
- Aspen Skilled Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0862727 | Alhv, LLC Dba Villa Valencia Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
25000 Calle de los Caballeros Blvd
Laguna Hills, CA 92653
Phone (949) 609-7540
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Laguna Hills, CA
- NPI 1649234949
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Laguna Hills, CA
- NPI 1649234949
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.