NPIMap

GHC of Santee, LLC

Organization Active NPI Skilled Nursing Facility · Santee, CA

NPI 1184628554 · NPPES record last updated Aug 5, 2024

Key facts

NPI
1184628554
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
080000299 (CA)
Legal business name
GHC OF SANTEE, LLC
Practice address
8778 Cuyamaca St
Santee, CA 92071-4255
Phone
(619) 449-5555
Fax
(619) 449-4948
NPI assigned
Jun 13, 2005
Organization subpart
No

Authorized official

Name
Lois Mastrocola
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 2

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

Medicare Care Compare: Nursing home

Listed as
Stanford Court Skilled Nursing & Rehab Center CCN 555290
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
Nov 27, 1987
Medicare certification status
Active (Provider of Services file)
Certified beds
105 · 101.9 residents per day on average
Chain
Generations Healthcare (27 facilities)

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
05D0568698GHC of Santee LLC Dba
8778 Cuyamaca Street, Santee, CA 92071		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Skilled nursing facility certification: CCN 555290

Legal name
GHC OF SANTEE, LLC
Doing business as
STANFORD COURT SKILLED NURSING & REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1987
Last certification
Aug 2, 2024
Beds
105
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generation Healthcare
Organization structure
LLC · Proprietary
Incorporated
Nov 5, 1998 in CA
Enrollment address
8778 Cuyamaca St
Santee, CA 92071-4255
Nursing home name
STANFORD COURT SKILLED NURSING & REHAB 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 Direct Ownership Interest 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 Direct Ownership Interest Feb 1, 1998 78.13%
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
Created for acquisition, LLC, For-profit 		5% Or Greater Direct Ownership Interest Feb 1, 1998 100%
Operational/Managerial Control Feb 1, 1998
Bmo Bank National Association
Organization · Chicago, IL
Financial institution 		5% Or Greater Security Interest Sep 20, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041015000332 CA Part a Provider - Skilled Nursing Facility 8123088986 Practice locations: Santee, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000299 CA Yes

Addresses

Primary practice location

8778 Cuyamaca St
Santee, CA 92071-4255

Mailing address

8778 Cuyamaca St
Santee, CA 92071-4255
Phone (619) 449-5555

Other identifiers

IdentifierTypeStateIssuer
LTC55290IMedicaidCA

Other names

  • Stanford Court Nursing Center of Santee 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 Santee, CA

All providers in Santee, CA · Skilled Nursing Facility in California

Sources for this page

Verify at the official NPI Registry.