NPIMap

GHC of Los Gatos, LLC

Organization Active NPI Skilled Nursing Facility · San Jose, CA

NPI 1083618441 · NPPES record last updated Aug 19, 2025

Key facts

NPI
1083618441
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
070000080 (CA)
Legal business name
GHC OF LOS GATOS, LLC
Practice address
2580 Samaritan Dr
San Jose, CA 95124-4101
Phone
(408) 356-8181
Fax
(408) 356-1851
NPI assigned
Jun 13, 2005
Organization subpart
No

Authorized official

Name
Thomas Olds Jr.
Title
Chief Financial Officer
Phone
(714) 241-5600

Facilities with the same owner 27

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

View all 27

Affiliated clinicians 6

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

Medicare Care Compare: Nursing home

Listed as
Plum Tree Care Center CCN 055866
Overall star rating
★★★★★ 5 of 5
Health inspections
★★★★☆ 4 of 5
Staffing
★★★☆☆ 3 of 5
Quality measures
★★★★★ 5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 18, 1967
Medicare certification status
Active (Provider of Services file)
Certified beds
76 · 69.5 residents per day on average
Chain
Generations Healthcare (27 facilities)
Penalties (3 years)
1 · fines totaling $8,018

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0665087GHC of Los Gatos LLC Dba Plum Tree
2580 Samaritan Dr, San Jose, CA 95124		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Skilled nursing facility certification: CCN 055866

Legal name
GHC OF LOS GATOS, LLC
Doing business as
PLUM TREE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 18, 1967
Last certification
Mar 28, 2025
Beds
76
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healthcare, LLC.
Organization structure
LLC · Proprietary
Incorporated
Nov 5, 1998 in CA
Enrollment address
2580 Samaritan Dr
San Jose, CA 95124-4101
Nursing home name
PLUM TREE CARE CENTER
Affiliated entity
GENERATIONS HEALTHCARE

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 Interest
Chief Financial Officer		 Feb 1, 1998 9.18%
Corporate Officer
Chief Financial Officer		 Feb 1, 1998
Corporate Director
Chief Financial Officer		 Feb 1, 1998
W-2 Managing Employee Sep 20, 2023
Thomas Olds
Individual 		5% Or Greater Indirect Ownership Interest
Ceo/President		 Feb 1, 1998 78.13%
Corporate Officer
Ceo/President		 Feb 1, 1998
Corporate Director
Ceo/President		 Feb 1, 1998
Fred Smith
Individual 		5% Or Greater Indirect Ownership Interest Feb 1, 1998 12.69%
Life Generations Healthcare, LLC
Organization · Santa Ana, CA
LLC, For-profit 		5% Or Greater Direct Ownership Interest Nov 1, 1998 100%
Bmo Bank National Association
Organization · Chicago, IL
Financial institution 		5% Or Greater Security Interest Sep 20, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041015000196 CA Part a Provider - Skilled Nursing Facility 0648230482 Practice locations: San Jose, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 070000080 CA Yes

Addresses

Primary practice location

2580 Samaritan Dr
San Jose, CA 95124-4101

Mailing address

2580 Samaritan Dr
San Jose, CA 95124-4101
Phone (408) 356-8181

Other identifiers

IdentifierTypeStateIssuer
LTC05866FMedicaidCA

Other names

  • Plum Tree Care Center Doing business as

Electronic endpoints

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

Other providers in San Jose, CA

All providers in San Jose, CA · Skilled Nursing Facility in California

Sources for this page

Verify at the official NPI Registry.