NPIMap

Organization Active NPI

GHC of Santee, LLC

Doing business as Stanford Court Nursing Center of Santee

  • Skilled Nursing Facility
  • Santee, CA
National Provider Identifier
1184628554
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000299 Issued in CA
Legal business name
GHC OF SANTEE, LLC
Doing business as
Stanford Court Nursing Center of Santee
Practice address
8778 Cuyamaca St
Santee, CA 92071-4255
Phone
(619) 449-5555
Fax
(619) 449-4948
NPI assigned
Jun 13, 2005
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Lois Mastrocola
Title
Chief Financial Officer
Phone
(714) 241-5600

Specialties & licenses 1

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

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 names 1

  • Stanford Court Nursing Center of Santee Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184628554. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Stanford Court Skilled Nursing & Rehab CenterCCN 555290 · 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
For profit - Limited Liability company
Certified
Nov 27, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
105101.9 residents per day on average
Chain
Generations Healthcare27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0568698GHC of Santee LLC Dba8778 Cuyamaca Street, Santee, CA 92071Certificate of waiverAug 31, 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
Lois a Mastrocola Individual 5% Or Greater Direct Ownership Interest Feb 1, 1998 9.18%
Corporate OfficerChief Financial Officer Feb 1, 1998
Corporate DirectorChief 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 DirectorCeo/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

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1184628554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714255",
            "telephone_number": "619-449-5555",
            "fax_number": "619-449-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714255",
            "telephone_number": "619-449-5555",
            "fax_number": "619-449-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF SANTEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MASTROCOLA",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stanford Court Nursing Center of Santee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.