NPIMap

Organization Active NPI

THC - Orange County, LLC

Doing business as Kindred Hospital - San Francisco Bay Area

  • Long Term Care Hospital
  • San Leandro, CA
National Provider Identifier
1306921929
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
140000066 Issued in CA
Legal business name
THC - ORANGE COUNTY, LLC
Doing business as
Kindred Hospital - San Francisco Bay Area
Practice address
2800 Benedict Dr
San Leandro, CA 94577
Phone
(510) 357-8300
Fax
(510) 357-1284
NPI assigned
Oct 25, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 140000066 CA Primary

Addresses

Primary practice location

2800 Benedict Dr
San Leandro, CA 94577

Mailing address

2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (510) 357-8300

Other identifiers 3

IdentifierTypeStateIssuer
HSP30705HMedicaidCA
052034OtherCABLUE CROSS
HCS30705HOtherCAHEALTH NET

Other names 1

  • Kindred Hospital - San Francisco Bay Area Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080709000630 CA Part A Provider - Hospital 8426967795 Practice locations: San Leandro, CA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1306921929. Details of each certification follow.

Hospital certification: CCN 052034

Legal name
THC - ORANGE COUNTY LLC
Doing business as
KINDRED HOSPITAL - SAN FRANCISCO BAY AREA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 29, 1993
Last certification
Jul 20, 2017
Beds
99
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 1, 2001 (2 total)
Organization structure
LLCProprietary
Enrollment address
2800 Benedict Dr
San Leandro, CA 94577-6840
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 050143

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PHYSICIANS COMMUNITY HOSPITAL
Certification status
Terminated Voluntary: other reason for withdrawal, Aug 14, 1992
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1969
Last certification
Oct 24, 1985
Beds
142
Ownership / control type
Other
Most recent change of ownership
Apr 1, 1988 (2 total)
Facility address
2800 Benedict Dr
San Leandro, CA 94577

Hospital certification: CCN 050705

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VENCOR HOSPITAL - SAN LEANDRO
Certification status
Terminated Other: provider status change, Jan 30, 1993
Provider type (POS)
Hospital – Short-term
Participating since
Jan 29, 1993
Last certification
Jan 7, 1993
Beds
100
Ownership / control type
Private (for profit)
Facility address
2800 Benedict Drive
San Leandro, CA 94577

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital - San Francisco Bay AreaCCN 052034 · All quality measures
Ownership
For profit
Certified
Jan 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Beds
99

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
05D0600653Kindred Hospital-SF Bay Area2800 Benedict Dr, San Leandro, CA 94577AccreditationNov 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
THC Orange County Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Larry Foster Individual Operational/Managerial ControlFacility Ceo May 2, 2022
Deanna Schiavone Individual Corporate OfficerCfo Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate Officer Sep 12, 2014
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026

Facilities with the same owner 97

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

  • KND Development 52, L.L.C.

    dba Kindred Hospital Baldwin Park

    • Long Term Care Hospital
    • Baldwin Park, CA
    • NPI 1689984668

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • KND Development 53, L.L.C.

    dba Kindred Hospital South Bay

    • Long Term Care Hospital
    • Gardena, CA
    • NPI 1215247978

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • KND Development 54, L.L.C.

    dba Kindred Hospital Riverside

    • Long Term Care Hospital
    • Perris, CA
    • NPI 1013227099

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • KND Development 55, L.L.C.

    dba Kindred Hospital Rancho

    • Long Term Care Hospital
    • Rancho Cucamonga, CA
    • NPI 1205146289

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • KND Real Estate 40, LLC

    dba Kindred Hospital Paramount

    • Long Term Care Hospital
    • Paramount, CA
    • NPI 1093275786

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • KND Real Estate 40, LLC

    dba Kindred Hospital Paramount (Acute Rehab Unit)

    • Rehabilitation Hospital
    • Paramount, CA
    • NPI 1578159661

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • Southern California Specialty Care, LLC

    dba Kindred Hospital - La Mirada

    • Long Term Care Hospital
    • La Mirada, CA
    • NPI 1033294723

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Los Angeles

    • Long Term Care Hospital
    • Los Angeles, CA
    • NPI 1447335146

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Westminster

    • Long Term Care Hospital
    • Westminster, CA
    • NPI 1528143179

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - Brea

    • Long Term Care Hospital
    • Brea, CA
    • NPI 1780768416

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba Kindred Hospital - San Gabriel Valley

    • Long Term Care Hospital
    • West Covina, CA
    • NPI 1942385224

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • THC - Orange County LLC

    dba d/b/a Kindred Hospital - San Diego

    • Long Term Care Hospital
    • San Diego, CA
    • NPI 1992880512

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1306921929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BENEDICT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776840",
            "telephone_number": "510-357-8300",
            "fax_number": "510-357-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BENEDICT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-357-8300",
            "fax_number": "510-357-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - ORANGE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "140000066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30705H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "052034",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "HCS30705H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - San Francisco Bay Area",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - San Francisco Bay Area",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.