GHC of Fresno LLC
Organization Active NPI Skilled Nursing Facility · Fresno, CA
NPI 1457069155 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1457069155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GHC OF FRESNO LLC
- Practice address
- 3034 E Herndon Ave
Fresno, CA 93720-0300 - Phone
- (559) 321-0883
- NPI assigned
- Nov 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Lois Mastrocola
- Title
- Chief Financial Officer
- Phone
- (714) 241-5600
Facilities with the same owner 27
Affiliated clinicians 4
-
Roman B Malley, MD
-
Michelle A Thomas, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Horizon Health & Subacute Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1980
- Medicare certification status
- Active
- Certified beds
- 180 · 154.5 residents per day on average
- Chain
- Generations Healthcare
- Penalties (3 years)
- 1 · fines totaling $22,913
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 055199
- Legal name
- GHC OF FRESNO, LLC
- Doing business as
- HORIZON HEALTH & SUBACUTE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1980
- Last certification
- Mar 7, 2025
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Life Generation Healthcare, LLC
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 5, 2022 in CA
- Enrollment address
- 3034 E Herndon Ave
Fresno, CA 93720-0300 - Nursing home name
- HORIZON HEALTH & SUBACUTE CENTER
- Affiliated entity
- GENERATIONS HEALTHCARE
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Lois a Mastrocola |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 9.18% |
| Corporate Officer |
Apr 1, 2023 | ||
| Thomas Olds |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 100% |
| Corporate Officer |
Apr 1, 2023 | ||
| Fred Smith |
5% Or Greater Indirect Ownership Interest | Apr 1, 2023 | 12.69% |
| Chad L Galley |
W-2 Managing Employee |
Apr 1, 2023 | |
| Life Generations Healthcare, LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231025002572 | CA | Part a Provider - Skilled Nursing Facility | 8123474293 | Practice locations: Fresno, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
3034 E Herndon Ave
Fresno, CA 93720-0300
Mailing address
6 Hutton Centre Dr Ste 400
Santa Ana, CA 92707-8762
Phone (714) 241-5600
Other names
- Horizon Health & Sub-Acute
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Fresno, CA
- Hebah Ghanem
- Dinora Ghannam
- Ghazal and Lambridis Dental Corporation
- Ghazal Gill and Lambridis Dental Corporation
- Tadeh Ghazarian
- Teklia Ghebrendrias
- Krissy Lee Ghent
- Anil K. Ghimire
- Ashley Ghinazzi
- Alyssa Ann Ghioldi
All providers in Fresno, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.