NPIMap

Organization Active NPI

Fremont Healthcare Operating Company, LP

  • Skilled Nursing Facility
  • Fremont, CA
National Provider Identifier
1194120600
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020000025 Issued in CA
Legal business name
FREMONT HEALTHCARE OPERATING COMPANY, LP
Practice address
39022 Presidio Way
Fremont, CA 94538-1221
Phone
(510) 792-3743
Fax
(510) 793-6108
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mrs. Andrea Saavedra
Title
Regional Financial Analyst
Phone
(707) 208-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 020000025 CA Primary

Addresses

Primary practice location

39022 Presidio Way
Fremont, CA 94538-1221

Mailing address

39022 Presidio Way
Fremont, CA 94538-1221
Phone (510) 792-3743

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06442LMedicaidCA

Other names 1

  • Fremont 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
O20161209000366 CA Part A Provider - Skilled Nursing Facility 9335429356 Practice locations: Fremont, CA

Skilled nursing facility certification: CCN 056422

Legal name
FREMONT HEALTHCARE OPERATING COMPANY LP
Doing business as
FREMONT HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1974
Last certification
Mar 1, 2024
Beds
115
Ownership / control type
Partnership
Organization structure
PartnershipProprietary
Enrollment address
39022 Presidio Way
Fremont, CA 94538-1221
Nursing home name
FREMONT HEALTHCARE CENTER
Affiliated entity
MARINER HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fremont Healthcare CenterCCN 056422
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Feb 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
115102.9 residents per day on average
Chain
Mariner Health Care17 facilities in the chain
Penalties (3 years)
1Fines totaling $12,051

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Shankar Ghimire Individual Operational/Managerial Control Mar 10, 2019
Adp of the SNF Mar 10, 2019
Grancare LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2015 100%
Espinito Caramba Individual Operational/Managerial Control Oct 29, 2023
Managing Control - Governing BodyAdministrator Oct 29, 2023
Adp of the SNF Oct 29, 2023
MHC West Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2015 100%
National Senior Care, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2015 100%
GC Holding Company 2 LLC Organization, Atlanta, GA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 30, 2015 99%
Limited Partnership Interest Jun 30, 2015 99%
MHC Holding Company Organization, Atlanta, GA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2015 100%
Mariner Health Care, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2015 100%
Fremont Holding Company GP LLC Organization, Atlanta, GA LLC, Holding company, For-profit General Partnership Interest Jun 30, 2015 1%
Julius Ubando Individual Operational/Managerial Control Nov 1, 2015
Managing Control - Governing BodyDirector of Nursing Nov 1, 2015
Adp of the SNF Nov 1, 2015
Emily Grunstein Individual 5% Or Greater Indirect Ownership Interest Feb 6, 2019 100%
Dennis Sarcauga Individual Operational/Managerial Control Feb 6, 2025
Managing Control - Governing BodyPresident Feb 6, 2025
Adp of the SNF Feb 6, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 16

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

View all 16

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1194120600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39022 PRESIDIO WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381221",
            "telephone_number": "510-792-3743",
            "fax_number": "510-793-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39022 PRESIDIO WAY",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381221",
            "telephone_number": "510-792-3743",
            "fax_number": "510-793-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT HEALTHCARE OPERATING COMPANY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REGIONAL FINANCIAL ANALYST",
        "authorized_official_telephone_number": "707-208-1940",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06442L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fremont Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.