NPIMap

Organization Active NPI

Thousand Oaks Post Acute, LLC

  • Skilled Nursing Facility
  • Thousand Oaks, CA
National Provider Identifier
1508327446
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THOUSAND OAKS POST ACUTE, LLC
Practice address
93 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2939
Phone
(805) 492-2444
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Jose Lynch
Title
Managing Member
Phone
(714) 673-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

93 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2939

Mailing address

400 Exchange Ste 140
Irvine, CA 92602-1343

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
O20190506000116 CA Part A Provider - Skilled Nursing Facility 0749522118 Practice locations: Thousand Oaks, CA

Skilled nursing facility certification: CCN 055342

Legal name
THOUSAND OAKS POST ACUTE, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1971
Last certification
Apr 25, 2025
Beds
123
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 21, 2019 in CA
Enrollment address
93 W Avenida de Los Arboles
Thousand Oaks, CA 91360-2939
Nursing home name
THOUSAND OAKS POST ACUTE, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Thousand Oaks Post Acute, LLCCCN 055342
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
Mar 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123101.2 residents per day on average
Penalties (3 years)
1Fines totaling $20,703

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
05D0891381Thousand Oaks Post Acute LLC93 W Avenida de Los Arboles, Thousand Oaks, CA 91360Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Abby GL LLC Organization, Irvine, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 21, 2019 92%
Elise L Bukont Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Mar 28, 2025
Jose C Lynch Individual 5% Or Greater Indirect Ownership InterestManager of Abby GL LLC Feb 21, 2019 92%
Operational/Managerial Control Feb 21, 2019
Ellie LLC Organization, Reseda, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 21, 2019 6%
Julio C Cruz Individual 5% Or Greater Indirect Ownership InterestManaging Member of Ellie LLC Feb 21, 2019 6%
James E Sims Individual Direct Ownership Interest Feb 21, 2019 2%
Eretz Thousand Oaks Properties LLC Organization, Irvine, CA LLC Adp of the SNF Mar 17, 2019
Pursue Health LLC Organization, Irvine, CA LLC, Consulting firm Adp of the SNF Jan 1, 2021
Chad Carlson Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Mar 28, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1508327446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXCHANGE STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W AVENIDA DE LOS ARBOLES",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602939",
            "telephone_number": "805-492-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND OAKS POST ACUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "714-673-6810"
    },
    "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",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.