NPIMap

Organization Active NPI

Kaweah Delta Health Care District

Doing business as Kaweah Health Skilled Nursing Center

  • Skilled Nursing Facility
  • Visalia, CA
National Provider Identifier
1093776338
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
120000580 Issued in CA
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
Kaweah Health Skilled Nursing Center
Practice address
1633 S Court St
Visalia, CA 93277-4945
Phone
(559) 624-2000
Fax
(559) 713-2356
NPI assigned
Mar 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Malinda Tupper
Title
SRVP/Chief Financial Officer
Phone
(559) 624-2739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 120000580 CA Primary

Addresses

Primary practice location

1633 S Court St
Visalia, CA 93277-4945

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2739

Other identifiers 1

IdentifierTypeStateIssuer
LTC90063FMedicaidCA

Other names 1

  • Kaweah Health Skilled Nursing Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080729000220 CA Part A Provider - Skilled Nursing Facility 6608778790 Practice locations: Visalia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093776338. Details of each certification follow.

Skilled nursing facility certification: CCN 555396

Legal name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
KAWEAH HEALTH SKILLED NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 24, 1989
Last certification
Mar 20, 2025
Beds
70
Ownership / control type
Hospital District
Organization structure
GovernmentNon-profit
Enrollment address
1633 S Court St
Visalia, CA 93277-4945
Nursing home name
KAWEAH HEALTH SKILLED NURSING CENTER

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kaweah Health Skilled Nursing CenterCCN 555396 · All quality measures
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
Government - Hospital district
Certified
Oct 24, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7044.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Kaweah Delta Non Inv Ca27 organizations share this tax ID, including this one
Part of
Kaweah Delta Non Inv Ca

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jagdev Batth Individual Corporate OfficerChief Operating Officer Mar 1, 2020
Operational/Managerial Control Mar 1, 2020
Adp of the SNF Feb 13, 2025
Dean Levitan Individual Operational/Managerial Control Feb 9, 2024
Managing Control - Governing BodyBoard Member/Zone 3 Feb 9, 2024
Adp of the SNF Feb 9, 2024
Anthony Olmos Individual Operational/Managerial Control Dec 10, 2024
Managing Control - Governing BodyBoard Member (Zone 1) Dec 4, 2020
Adp of the SNF Jan 7, 2025
Kari Moreno Individual Corporate DirectorDirector of Nursing Feb 13, 2025
Operational/Managerial Control Feb 13, 2025
Adp of the SNF Feb 13, 2025
Inpatient Specialists of California PC Organization, Los Angeles, CA Corporation Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 7, 2025
Benjamin Cripps Individual Corporate OfficerChief Compliance & Risk Officer Feb 12, 2017
Operational/Managerial Control Feb 12, 2017
Adp of the SNF Feb 12, 2017
Dale Jeremy Yeatts Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Malinda Tupper Individual Corporate OfficerChief Financial Officer Feb 14, 2018
Operational/Managerial Control Feb 4, 2018
Adp of the SNF Feb 4, 2018
Armando Murrieta Individual Operational/Managerial Control Dec 4, 2024
Managing Control - Governing BodyBoard Member/ Zone 5 Dec 4, 2024
Adp of the SNF Dec 4, 2025
Marc Mertz Individual Corporate OfficerChief Executive Officer Dec 22, 2025
Operational/Managerial Control Dec 22, 2025
Adp of the SNF Dec 22, 2025
Kaweah Delta Health Care District Organization, Visalia, CA 5% Or Greater Direct Ownership Interest Oct 24, 1989 100%
Operational/Managerial Control Dec 16, 2024
Adp of the SNF Jan 7, 2025
David Francis Individual Operational/Managerial Control Dec 9, 2024
Managing Control - Governing BodyBoard Member - Zone IV Mar 22, 2018
Adp of the SNF Jan 7, 2025
Jonna Schengel Individual Operational/Managerial Control Feb 17, 2026
Managing Control - Governing BodyBoard Member/Zone 2 Feb 17, 2026
Adp of the SNF Feb 17, 2026
Scott Baker Individual Corporate OfficerChief Nursing Officer Dec 12, 2025
Adp of the SNF Dec 12, 2025

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaweah Health Medical CenterVisalia, CA, CCN 050057 Hospital Operational/Managerial Control Jul 1, 1967
Kaweah Health Rehabilitation HospitalVisalia, CA, CCN 05T057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Mental Health HospitalVisalia, CA, CCN 05S057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Home HealthVisalia, CA, CCN 057255 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Kaweah Health HospiceVisalia, CA, CCN 051748 Hospice 5% Or Greater Direct Ownership Interest (100%) May 16, 2002
Kaweah Health Exeter ClinicExeter, CA, CCN 058508 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 17, 2008
Kaweah Health Lindsay ClinicLindsay, CA, CCN 058649 Rural health clinic 5% Or Greater Direct Ownership Interest Jun 19, 2009
Kaweah Health Woodlake ClinicWoodlake, CA, CCN 058659 Rural health clinic Other Jan 12, 2012
Kaweah Health Dinuba ClinicDinuba, CA, CCN 058677 Rural health clinic Operational/Managerial Control Sep 1, 2014
Kaweah Health Tulare ClinicTulare, CA, CCN 058717 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
Kaweah Health Valencia ClinicWoodlake, CA, CCN 058734 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 19, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093776338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2739",
            "fax_number": "559-713-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774945",
            "telephone_number": "559-624-2000",
            "fax_number": "559-713-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "SRVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-2739"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90063F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@kdhcd.org",
            "affiliation": "N",
            "address_1": "1633 S Court St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932774945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Health Skilled Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.