NPIMap

Organization Active NPI

GHC of National City II, LLC

Doing business as Castle Manor Convalescent Center

  • Skilled Nursing Facility
  • National City, CA
National Provider Identifier
1497759856
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
090000294 Issued in CA
Legal business name
GHC OF NATIONAL CITY II, LLC
Doing business as
Castle Manor Convalescent Center
Practice address
541 V Ave
National City, CA 91950-2828
Phone
(619) 791-7900
Fax
(619) 791-7980
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
Chief Financial Officer
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 090000294 CA Primary

Addresses

Primary practice location

541 V Ave
National City, CA 91950-2828

Mailing address

541 S V Ave
National City, CA 91950-2828
Phone (619) 791-7900

Other identifiers 1

IdentifierTypeStateIssuer
LTC55263GMedicaidCA

Other names 1

  • Castle Manor Convalescent 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
O20041015000438 CA Part A Provider - Skilled Nursing Facility 4284694068 Practice locations: National City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497759856. Details of each certification follow.

Skilled nursing facility certification: CCN 555263

Legal name
GHC OF NATIONAL CITY II, LLC
Doing business as
CASTLE MANOR NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 22, 1987
Last certification
Mar 27, 2025
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healhcare, LLC
Organization structure
LLCProprietary
Incorporated
Aug 19, 1998 in CA
Enrollment address
541 S V Ave
National City, CA 91950-2828
Nursing home name
CASTLE MANOR NURSING & REHABILITATION CENTER
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Castle Manor Nursing & Rehabilitation CenterCCN 555263 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 22, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9992.0 residents per day on average
Chain
Generations Healthcare27 facilities in the chain
Penalties (3 years)
2Fines totaling $10,188

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
05D0867252GHC of National City II, LLC Dba541 V Avenue, National City, CA 91950Certificate of waiverAug 31, 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 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 Oct 6, 2021 100%

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 5

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": "1497759856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S V AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502828",
            "telephone_number": "619-791-7900",
            "fax_number": "619-791-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 V AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502828",
            "telephone_number": "619-791-7900",
            "fax_number": "619-791-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF NATIONAL CITY II, 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": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-241-5600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55263G",
            "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": "Castle Manor Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.