NPIMap

Organization Active NPI

Olowalu Beach Holdings LLC

Doing business as Gridley Post Acute

  • Skilled Nursing Facility
  • Gridley, CA
National Provider Identifier
1083387765
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OLOWALU BEACH HOLDINGS LLC
Doing business as
Gridley Post Acute
Practice address
246 Spruce St
Gridley, CA 95948-2216
Phone
(530) 456-0400
Fax
(530) 800-0016
NPI assigned
Jul 28, 2021
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Mette K Oconnor
Title
Controller
Phone
(760) 656-6985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

246 Spruce St
Gridley, CA 95948-2216

Mailing address

701 Palomar Airport Rd Ste 230
Carlsbad, CA 92011-1046
Phone (760) 656-6985

Other names 1

  • GRIDLEY POST ACUTE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address METTE@WESTHARBORHC.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012003113 CA Part A Provider - Skilled Nursing Facility 9739587320 Practice locations: Gridley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083387765. Details of each certification follow.

Skilled nursing facility certification: CCN 555776

Legal name
OLOWALU BEACH HOLDINGS LLC
Doing business as
GRIDLEY POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 31, 2001
Last certification
Mar 27, 2025
Beds
82
Ownership / control type
Limited Liability Corporation
Multi-facility organization
West Harbor Health Care
Organization structure
LLCProprietary
Incorporated
Jun 17, 2021 in CA
Enrollment address
246 Spruce St
Gridley, CA 95948-2216
Nursing home name
GRIDLEY POST ACUTE
Affiliated entity
WEST HARBOR HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gridley Post AcuteCCN 555776 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 31, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8270.5 residents per day on average
Chain
West Harbor Healthcare8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

701 Palomar Airport Rd
Ste 230
Carlsbad, CA 92011

Interoperability endpoints

  • Direct secure messaging: mette@westharborhc.com

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Cameron Rosenhan Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 20%
Corporate OfficerManager/Director of Operations Oct 1, 2021
Operational/Managerial ControlManager/Director of Operations Oct 1, 2021
Kevin Galbasini Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 40%
Corporate OfficerManager/Treasurer Oct 1, 2021
Operational/Managerial ControlManager/Treasurer Oct 1, 2021
West Harbor Healthcare LLC Organization, Carlsbad, CA LLC 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Daniel Gill Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2021 40%
Corporate OfficerManager/Ceo Oct 1, 2021
Operational/Managerial ControlManager/Ceo Oct 1, 2021

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1083387765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALOMAR AIRPORT RD STE 230",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111046",
            "telephone_number": "760-656-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-456-0400",
            "fax_number": "530-800-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLOWALU BEACH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "METTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "760-656-6985"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "METTE@WESTHARBORHC.COM",
            "affiliation": "N",
            "address_1": "246 Spruce St",
            "city": "Gridley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959482216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRIDLEY POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GRIDLEY POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gridley, CA

Sources for this page

Verify at the official NPI Registry.