Active NPI
Pater Dignitas Inc
- Skilled Nursing Facility
- Monterey, CA
National Provider Identifier
1093733776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 070000015
- Legal business name
- PATER DIGNITAS INC
- Practice address
- 23795 WR Holman Hwy
Monterey, CA 93940-5903 - Phone
- (831) 624-1875
- Fax
- (831) 624-7138
- NPI assigned
- Jul 18, 2006
- 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
- Mr. Robert Joseph Bowersox Jr.
- Title
- President Administrator
- Phone
- (831) 624-1875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 070000015 | CA | Primary |
Addresses
Primary practice location
23795 WR Holman Hwy
Monterey, CA 93940-5903
Mailing address
23795 WR Holman Hwy
Monterey, CA 93940-5903
Phone (831) 624-1875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06055G | Medicaid | CA |
Other names 1
- Carmel Hills Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091231000228 | CA | Part A Provider - Skilled Nursing Facility | 7810950110 | Practice locations: Monterey, CA |
Skilled nursing facility certification: CCN 056055
- Legal name
- PATER DIGNITAS INC
- Doing business as
- CARMEL HILLS CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 31, 1971
- Last certification
- Dec 19, 2024
- Beds
- 99
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 1, 2004 in CA
- Enrollment address
- 23795 WR Holman Highway
Monterey, CA 93940-5903 - Nursing home name
- CARMEL HILLS CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Carmel Hills Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 31, 1971
- Medicare certification status
- Active
- Certified beds
- 99
National Provider Directory
National Provider DirectoryLocations
23795 W R Holman Hwy
Monterey, CA 93940
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Bowersox | 5% Or Greater Indirect Ownership Interest | Oct 30, 2004 | 50% |
| W-2 Managing Employee | Oct 30, 2004 | 50% | |
| Melanie Tubera | Operational/Managerial Control | Apr 1, 2014 | 10% |
| Mikko Christopher Helenius | Contracted Managing Employee | Jun 1, 2010 | |
| Kim Bowersox | 5% Or Greater Indirect Ownership Interest | Oct 30, 2014 | 50% |
| W-2 Managing Employee | Oct 30, 2004 | 50% | |
| Carole Dorsey | W-2 Managing Employee | Jun 6, 2014 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Monterey, CA
- NPI 1962431940
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423440000000",
"number": "1093733776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23795 WR HOLMAN HWY",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405903",
"telephone_number": "831-624-1875",
"fax_number": "831-624-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23795 WR HOLMAN HWY",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405903",
"telephone_number": "831-624-1875",
"fax_number": "831-624-7138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATER DIGNITAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2015-02-09",
"status": "A",
"authorized_official_last_name": "BOWERSOX",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
"authorized_official_telephone_number": "831-624-1875",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "070000015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR06055G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carmel Hills Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.