Organization Active NPI

Katherine Healthcare LLC

  • Skilled Nursing Facility
  • Salinas, CA
National Provider Identifier
1114649589
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KATHERINE HEALTHCARE LLC
Practice address
315 Alameda Ave
Salinas, CA 93901-4120
Phone
(831) 424-1878
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Richard Martin
Title
Manager
Phone
(831) 424-1878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

315 Alameda Ave
Salinas, CA 93901-4120

Mailing address

4747 Viewridge Ave Ste 105
San Diego, CA 92123-1688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230824004126 CA Part A Provider - Skilled Nursing Facility 6608239512 Practice locations: Salinas, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114649589. Details of each certification follow.

Skilled nursing facility certification: CCN 055311

Legal name
KATHERINE HEALTHCARE LLC
Doing business as
KATHERINE HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Apr 30, 2024
Beds
51
Ownership / control type
Corporation
Multi-facility organization
Buena Vista Healthcare
Organization structure
LLCProprietary
Enrollment address
315 Alameda Ave
Salinas, CA 93901-4120
Nursing home name
KATHERINE HEALTHCARE
Affiliated entity
BVHC, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Katherine HealthcareCCN 055311 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5141.8 residents per day on average
Chain
BVHC, LLC12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
BVHC, LLC Organization, San Diego, CA LLC, Owned by another organization or individual Direct Ownership Interest Jun 30, 2023 100%
Nischal Thapa Individual Operational/Managerial Control Aug 6, 2024
Adp of the SNF Aug 6, 2024
Redentor Batin Calabazaron Individual Operational/Managerial Control Feb 14, 2022
Adp of the SNF Feb 14, 2022
Maria Victoria Pato Individual Operational/Managerial Control Sep 4, 2023
Adp of the SNF Sep 4, 2023
Bryan Boehrer Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Indirect Ownership Interest Jun 30, 2023 50%
Felix Diaz Vasquez Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Nikkie Jagonio Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Justine Nghiem Individual Operational/Managerial Control Aug 1, 2013
Adp of the SNF Aug 1, 2013
Neila Silvania Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Richard Martin Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Indirect Ownership Interest Jun 30, 2023 50%

Owners & managing parties with NPI records 1

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

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": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1114649589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 VIEWRIDGE AVE STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ALAMEDA AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014120",
            "telephone_number": "831-424-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "831-424-1878"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.