NPIMap

Organization Active NPI

GHC of Henderson LLC

  • Skilled Nursing Facility
  • Henderson, NV
National Provider Identifier
1508303090
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 HENDERSON LLC
Practice address
2855 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone
(702) 805-5050
NPI assigned
Jan 23, 2017
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 E Olds Jr.
Title
President
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2855 W Horizon Ridge Pkwy
Henderson, NV 89052

Mailing address

2855 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 805-5050

Other practice location 1

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

Other names 3

  • Coronado Ridge Skilled Nursing & Rehabilitation Center Doing business as
  • Horizon Ridge Doing business as
  • Horizon Ridge Skilled Nursing & Rehabilitation 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 NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212000921 NV Part A Provider - Skilled Nursing Facility 6901162361 Practice locations: Henderson, NV

Skilled nursing facility certification: CCN 295099

Legal name
GHC OF HENDERSON LLC
Doing business as
CORONADO RIDGE SKILLED NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 4, 2017
Last certification
Aug 9, 2024
Beds
121
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 13, 2016 in CA
Enrollment address
2855 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Nursing home name
CORONADO RIDGE SKILLED NURSING & REHABILITATION CENTER
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Coronado Ridge Skilled Nursing & Rehabilitation CeCCN 295099
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 4, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121110.7 residents per day on average
Chain
Generations Healthcare27 facilities in the chain

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
29D2134084Coronado Ridge Skilled Nursing & Rehab Center2855 W Horizon Ridge Parkway, Henderson, NV 89052Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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 Interest Apr 13, 2016 12.68%
Corporate OfficerCfo Apr 13, 2016
Rhett Jensen Individual W-2 Managing Employee Nov 14, 2021
Thomas Olds Individual 5% Or Greater Indirect Ownership Interest Apr 13, 2016 78.13%
Corporate OfficerCeo and President Apr 13, 2016
Fred Smith Individual 5% Or Greater Indirect Ownership Interest Apr 13, 2016 9.18%
Life Generations Healthcare, LLC Organization, Santa Ana, CA LLC 5% Or Greater Direct Ownership Interest Apr 13, 2016 100%
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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1508303090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524394",
            "telephone_number": "702-805-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-805-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Hutton Centre Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927078762",
            "country_code": "US",
            "telephone_number": "714-241-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GHC OF HENDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "OLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-241-5600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "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": "Coronado Ridge Skilled Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Ridge Skilled Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.