Active NPI
So Cal Post Acute Holdings LLC
- Skilled Nursing Facility
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SO CAL POST ACUTE HOLDINGS LLC
- Practice address
- 7931 Sorensen Ave
Whittier, CA 90606-2418 - Phone
- (562) 698-0451
- NPI assigned
- Nov 5, 2020
- Last updated
- May 18, 2022
- 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
- Richard Martin
- Title
- Manager
- Phone
- (562) 698-0451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
7931 Sorensen Ave
Whittier, CA 90606-2418
Mailing address
4747 Viewridge Ave Ste 105
San Diego, CA 92123-1688
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SoCalPostAcuteCare | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210107002261 | CA | Part A Provider - Skilled Nursing Facility | 5698188811 | Practice locations: Whittier, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063013035. Details of each certification follow.
Skilled nursing facility certification: CCN 055168
- Legal name
- SO CAL POST ACUTE HOLDINGS LLC
- Doing business as
- SOCAL POST-ACUTE CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Jan 12, 2025
- Beds
- 59
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- BVHC, LLC
- Organization structure
- LLC
- Incorporated
- Sep 24, 2020 in CA
- Enrollment address
- 7931 Sorensen Ave
Whittier, CA 90606-2418 - Nursing home name
- SOCAL POST-ACUTE CARE
- Affiliated entity
- BVHC, LLC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Socal Post-Acute Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 59
- Chain
- BVHC, LLC
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Victoria Garza | Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| BVHC, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Nischal Thapa | Operational/Managerial Control | Aug 6, 2024 | |
| Adp of the SNF | Aug 6, 2024 | ||
| Mindee Jo Gorman | Operational/Managerial Control | Sep 13, 2021 | |
| Adp of the SNF | Sep 13, 2021 | ||
| Redentor Batin Calabazaron | Operational/Managerial Control | Feb 14, 2022 | |
| Adp of the SNF | Feb 14, 2022 | ||
| Marylin Valdez Mallari | Operational/Managerial Control | Dec 30, 2020 | |
| Adp of the SNF | Dec 30, 2020 | ||
| Joana Mae Sulit-Fernandez | Operational/Managerial Control | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| Bryan Boehrer | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 50% |
| William Daniel Welsh | Operational/Managerial Control | Dec 1, 2009 | |
| Adp of the SNF | Dec 1, 2009 | ||
| Richard Martin | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 50% |
| Shane Dahl | Operational/Managerial Control | Jan 12, 2021 | |
| Adp of the SNF | Jan 12, 2021 |
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 (Internal Medicine) Physician
- Whittier, CA
- NPI 1568401255
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Pacific Grove Healthcare Center
- Skilled Nursing Facility
- Pacific Grove, CA
- NPI 1881152031
BVHC, LLC
-
dba Double Tree Post Acute
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1528585338
BVHC, LLC
-
dba Casa Coloma Health Care Center
- Skilled Nursing Facility
- Rancho Cordova, CA
- NPI 1891310520
BVHC, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Whittier, CA
- NPI 1568401255
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1063013035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 VIEWRIDGE AVE STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7931 SORENSEN AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906062418",
"telephone_number": "562-698-0451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SO CAL POST ACUTE HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "562-698-0451"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SoCalPostAcuteCare",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7931 Sorensen Ave",
"city": "Whittier",
"state": "CA",
"country_code": "US",
"postal_code": "906062418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.