NPIMap

Organization Active NPI

GHC of Sac - SNF LLC

Doing business as Gramercy Court Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1063864874
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
030000403 Issued in CA
Legal business name
GHC OF SAC - SNF LLC
Doing business as
Gramercy Court Nursing & Rehabilitation
Practice address
2200 Gramercy Dr
Sacramento, CA 95825-0308
Phone
(916) 482-2200
NPI assigned
Jul 5, 2016
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Lois Mastrocola
Title
Chief Financial Officer
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030000403 CA Primary

Addresses

Primary practice location

2200 Gramercy Dr
Sacramento, CA 95825-0308

Mailing address

2200 Gramercy Dr
Sacramento, CA 95825-0308
Phone (916) 482-2200

Other identifiers 1

IdentifierTypeStateIssuer
LTC55459FMedicaidCA

Other names 1

  • Gramercy Court Nursing & Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908001570 CA Part A Provider - Skilled Nursing Facility 1153618806 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063864874. Details of each certification follow.

Skilled nursing facility certification: CCN 555459

Legal name
GHC OF SAC - SNF LLC
Doing business as
GRAMERCY COURT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 24, 1991
Last certification
Dec 5, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healthcare, LLC
Organization structure
LLCProprietary
Incorporated
Apr 1, 2016 in CA
Enrollment address
2200 Gramercy Dr
Sacramento, CA 95825-0308
Nursing home name
GRAMERCY COURT
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gramercy CourtCCN 555459 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 24, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120105.9 residents per day on average
Chain
Generations Healthcare27 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lois a Mastrocola Individual 5% Or Greater Indirect Ownership InterestChief Financial Officer Jul 1, 2016 9.18%
Corporate OfficerChief Financial Officer Feb 1, 1998
Corporate DirectorChief Financial Officer Feb 1, 1998
W-2 Managing Employee Sep 20, 2023
Thomas Olds Individual 5% Or Greater Indirect Ownership InterestCeo/President Jul 1, 2016 78.13%
Corporate OfficerCeo/President Feb 1, 1998
Corporate DirectorCeo/President Feb 1, 1998
Fred Smith Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 12.69%
Life Generations Healthcare, LLC Organization, Santa Ana, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Bmo Bank National Association Organization, Chicago, IL Financial institution 5% Or Greater Security Interest Oct 6, 2021

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1063864874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRAMERCY DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250308",
            "telephone_number": "916-482-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRAMERCY DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250308",
            "telephone_number": "916-482-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF SAC - SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55459F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gramercy Court Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.