Poplar Holdings, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POPLAR HOLDINGS, LLC

Doing business as

Poway Healthcare Center

Practice address

15632 Pomerado Rd
Poway, CA 92064-2406

Phone

(858) 485-5153

Fax

(858) 485-7694

NPI assigned

Oct 25, 2007

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(385) 988-3319

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Poway Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407035512. Details of each certification follow.

• CCN 555136 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555136

Legal name

POPLAR HOLDINGS LLC

Doing business as

POWAY HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 14, 1981

Last certification

May 8, 2025

Beds

99

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Apr 16, 2008

Organization structure

LLCProprietary

Incorporated

Apr 3, 2007 in CA

Enrollment address

15632 Pomerado Rd
Poway, CA 92064-2406

Nursing home name

POWAY HEALTHCARE CENTER

Affiliated entity

PACS GROUP

Listed as

Poway Healthcare CenterCCN 555136 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 14, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9996.1 residents per day on average

Chain

Pacs Group274 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Mohinderpal S Thaper, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Poway, CA
  • NPI 1295795037

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 27

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

• Aloe Holdings LLC

  dba Auburn Oaks Care Center

  • Skilled Nursing Facility
  • Auburn, CA
  • NPI 1700184991

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Applewood Operating Company, LLC

  dba Copper Ridge Healthcare Center

  • Skilled Nursing Facility
  • Redding, CA
  • NPI 1952465791

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Azalea Holdings, LLC

  dba Mckinley Park Care Center

  • Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1023316023

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Cantaloupe Holdings, LLC

  dba Beachwood Post-Acute & Rehab

  • Skilled Nursing Facility
  • Santa Monica, CA
  • NPI 1295119212

  Bay Bridge Capital Partners, LLC

  CMS ownership
• Crocus Holdings, LLC

  dba Roseville Care Center

  • Skilled Nursing Facility
  • Roseville, CA
  • NPI 1871891929

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Daisy Holdings, LLC

  dba Pine Creek Care Center

  • Skilled Nursing Facility
  • Roseville, CA
  • NPI 1437457645

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Dragonfruit Holdings, LLC

  dba Canyon Springs Post-Acute

  • Skilled Nursing Facility
  • San Jose, CA
  • NPI 1639548308

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Fig Holdings, LLC

  dba Garden City Healthcare Center

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1801832464

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Gladiolus Holdings, LLC

  dba The Pines at Placerville Healthcare Ctr

  • Skilled Nursing Facility
  • Placerville, CA
  • NPI 1457659682

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Golden Oak Holdings, LLC

  dba Vasona Creek Healthcare Center

  • Skilled Nursing Facility
  • Los Gatos, CA
  • NPI 1285670851

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Guava Holdings LLC

  dba Yuba City Post-Acute

  • Skilled Nursing Facility
  • Yuba City, CA
  • NPI 1275923773

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership
• Hawthorne Holdings, LLC

  dba White Blossom Care Center

  • Skilled Nursing Facility
  • San Jose, CA
  • NPI 1720024391

  Bay Bridge Capital Partners, LLC, Hudson River Opco LLC

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nikhil R Gandhi, MD

  • Hospitalist Physician
  • La Mesa, CA
  • NPI 1609934538

  Nursing home

  Care Compare affiliation
• Mohinderpal S Thaper, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Poway, CA
  • NPI 1295795037

  Nursing home

  Care Compare affiliation
• F. Omar B. Tordilla, MD

  • Family Medicine Physician
  • Escondido, CA
  • NPI 1225063795

  Nursing home

  Care Compare affiliation
• Richard Tran, M.D.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1578883385

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1407035512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15632 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642406",
            "telephone_number": "858-485-5153",
            "fax_number": "858-485-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55136I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407035512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poway Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Polonia, PSY.D.
• Mackenzie Polu, RBT
• Pomerado Inc
• Pomerado Operations, LLC (Boulder Creek Post Acute)
• Leilani Pompa
• Emily M Porcayo-Henriquez
• Mackenzie Potts
• Poway Adult Day Health Care Center LLC
• Poway Ca Multi Specialty ASC LLC (Poway Surgery Center)
• Poway Emergency Physicians, Inc

• Skilled Nursing Facility in Poway, CA
• Providers in Poway, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.