Organization Active NPI

Stanley Healthcare Center Operating Company, LLC

  • Skilled Nursing Facility
  • Westminster, CA
National Provider Identifier
1164495156
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000174 Issued in CA
Legal business name
STANLEY HEALTHCARE CENTER OPERATING COMPANY, LLC
Doing business as
Stanley Healthcare Center
Practice address
14102 Springdale St
Westminster, CA 92683-3538
Phone
(714) 893-0026
Fax
(714) 895-7298
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
James B. Kilian
Title
Chief Financial Officer
Phone
(909) 796-2595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060000174 CA Primary

Addresses

Primary practice location

14102 Springdale St
Westminster, CA 92683-3538

Mailing address

PO Box 3000
Loma Linda, CA 92354-9000
Phone (909) 796-2595

Other identifiers 2

IdentifierTypeStateIssuer
060000174OtherCASTATE LICENSE NUMBER
LTC55651FMedicaidCA

Other names 1

  • Stanley Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407000985 CA Part A Provider - Skilled Nursing Facility 2264349281 Practice locations: Westminster, CA

Skilled nursing facility certification: CCN 555651

Legal name
STANLEY HEALTHCARE CENTER OPERATING COMPANY LLC
Doing business as
STANLEY HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 29, 1995
Last certification
Mar 6, 2025
Beds
30
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 6, 2001 in CA
Enrollment address
14102 Springdale St
Westminster, CA 92683-3538
Nursing home name
STANLEY HEALTHCARE CENTER
Affiliated entity
PROGRESSIVE HEALTH CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stanley Healthcare CenterCCN 555651 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 29, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3026.4 residents per day on average
Chain
Progressive Health Care Centers5 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 5

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

NameRoleSinceShare
Maria J Larson Individual 5% Or Greater Direct Ownership Interest Nov 6, 2001 25%
James Barry Kilian Individual Corporate OfficerCfo Nov 6, 2001
Gregory S Goings Individual Corporate OfficerGregory S Goings, Ceo/President Nov 6, 2001
Verna J Goings Individual 5% Or Greater Direct Ownership Interest Nov 6, 2001 50%
Michael S Davis Individual W-2 Managing EmployeeAdministrator Jan 26, 2016 100%

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1164495156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923549000",
            "telephone_number": "909-796-2595",
            "fax_number": "909-796-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14102 SPRINGDALE ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833538",
            "telephone_number": "714-893-0026",
            "fax_number": "714-895-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY HEALTHCARE CENTER OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-796-2595"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "060000174",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55651F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanley Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.