NPIMap

Organization Active NPI

GHC of la Mesa, LLC

Doing business as Arbor Hills Nursing Center

  • Skilled Nursing Facility
  • La Mesa, CA
National Provider Identifier
1356345706
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000066 Issued in CA
Legal business name
GHC OF LA MESA, LLC
Doing business as
Arbor Hills Nursing Center
Practice address
7800 Parkway Dr
La Mesa, CA 91942-2001
Phone
(619) 460-2330
Fax
(619) 460-5821
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
Thomas Olds Jr.
Title
President
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080000066 CA Primary

Addresses

Primary practice location

7800 Parkway Dr
La Mesa, CA 91942-2001

Mailing address

7800 Parkway Dr
La Mesa, CA 91942-2001
Phone (619) 460-2330

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05114LMedicaidCA

Other names 1

  • Arbor Hills Nursing Center 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
O20041015000391 CA Part A Provider - Skilled Nursing Facility 4789644550 Practice locations: La Mesa, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356345706. Details of each certification follow.

Skilled nursing facility certification: CCN 055114

Legal name
GHC OF LA MESA, LLC
Doing business as
ARBOR HILLS NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1978
Last certification
Nov 1, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 5, 1998 in CA
Enrollment address
7800 Parkway Dr
La Mesa, CA 91942-2001
Nursing home name
ARBOR HILLS NURSING CENTER
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arbor Hills Nursing CenterCCN 055114 · 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
Aug 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10091.9 residents per day on average
Chain
Generations Healthcare27 facilities in the chain
Penalties (3 years)
1Fines totaling $12,831

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
05D0884196Arbor Hills Nursing Center7800 Parkway Drive, La Mesa, CA 91942Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

7800 Parkway Dr
La Mesa, CA 91942
Phone (619) 460-2330

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 OfficerCeo/President Feb 1, 1998
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 3

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": "1356345706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422001",
            "telephone_number": "619-460-2330",
            "fax_number": "619-460-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422001",
            "telephone_number": "619-460-2330",
            "fax_number": "619-460-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF LA MESA, 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": "OLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-241-5600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05114L",
            "state": "CA"
        }
    ],
    "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": "Arbor Hills Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.