Ray Properties Kit Carson Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000053 Issued in CA

Legal business name

RAY PROPERTIES KIT CARSON INC.

Doing business as

Kit Carson Nursing and Rehabilitation Center

Practice address

811 Court St
Jackson, CA 95642-2131

Phone

(209) 223-2231

NPI assigned

Oct 3, 2005

Last updated

Sep 10, 2008By 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

Jenq H Chen

Title

President

Phone

(310) 889-9929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KIT CARSON NURSING AND REHABILITATION 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 1467449603. Details of each certification follow.

• CCN 056198 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056198

Legal name

RAY PROPERTIES KIT CARSON INC.

Doing business as

KIT CARSON NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 4, 1970

Last certification

Sep 12, 2024

Beds

199

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 17, 1994 in CA

Enrollment address

811 Court St
Jackson, CA 95642-2131

Nursing home name

KIT CARSON NURSING & REHABILITATION CENTER

Affiliated entity

EVA CARE GROUP

Listed as

Kit Carson Nursing & Rehabilitation CenterCCN 056198 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

May 4, 1970

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

19969.8 residents per day on average

Chain

Eva Care Group9 facilities in the chain

Penalties (3 years)

4Fines totaling $28,327

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 5

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.

• Gregory Gerald Smith, MD

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1952322596

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Gregory Gerald Smith, MD

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1952322596

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1467449603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PONTIUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 COURT ST",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422131",
            "telephone_number": "209-223-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY PROPERTIES KIT CARSON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENQ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-889-9929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06198I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIT CARSON NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shivani Raina
• Brian Edward Raines, PSYD
• McKenzie Sierra Rainwater
• Raleys
• Danuta Eliza Chojczak Ramaley, LCSW
• Allison Marie Regan
• Robert Michael Reynolds, LVN
• Sharon Reynolds, CMT, NMT
• Baxter Key Richardson IV, MD
• Stephen Jay Riggio, DDS

• Skilled Nursing Facility in Jackson, CA
• Providers in Jackson, 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 Sep 10, 2008; 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.