NPIMap

Organization Active NPI

GHC of El Cajon, LLC

Doing business as Bradley Special Care Center

  • Skilled Nursing Facility
  • El Cajon, CA
National Provider Identifier
1356975684
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GHC OF EL CAJON, LLC
Doing business as
Bradley Special Care Center
Practice address
675 E Bradley Ave
El Cajon, CA 92021-3110
Phone
(619) 448-6633
NPI assigned
Feb 25, 2020
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

675 E Bradley Ave
El Cajon, CA 92021-3110

Mailing address

6 Hutton Centre Dr Ste 400
Santa Ana, CA 92707-8762
Phone (714) 241-5600

Other names 1

  • Bradley Special Care 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
O20200923001325 CA Part A Provider - Skilled Nursing Facility 9739508862 Practice locations: El Cajon, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356975684. Details of each certification follow.

Skilled nursing facility certification: CCN 555140

Legal name
GHC OF EL CAJON, LLC
Doing business as
BRADLEY COURT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 30, 1990
Last certification
Mar 13, 2025
Beds
56
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healthcare, LLC
Organization structure
LLCProprietary
Incorporated
Jan 13, 2020 in CA
Enrollment address
675 E Bradley Ave
El Cajon, CA 92021-3110
Nursing home name
BRADLEY COURT
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bradley CourtCCN 555140 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 30, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5655.4 residents per day on average
Chain
Generations Healthcare27 facilities in the chain

Processed by Care Compare on Aug 1, 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 Indirect Ownership InterestChief Financial Officer Mar 1, 2020 9.18%
Corporate OfficerChief Financial Officer Mar 1, 2020
Corporate DirectorChief Financial Officer Mar 1, 2020
W-2 Managing Employee Mar 1, 2020
Thomas Olds Individual 5% Or Greater Indirect Ownership InterestCeo/President Mar 1, 2020 78.13%
Corporate OfficerCeo/President Mar 1, 2020
Corporate DirectorCeo/President Mar 1, 2020
Fred Smith Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2020 12.69%
Life Generations Healthcare, LLC Organization, Santa Ana, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
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 1

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1356975684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E BRADLEY AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213110",
            "telephone_number": "619-448-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF EL CAJON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "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": "Bradley Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bradley Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.