Organization Active NPI

VSC Hbo, LLC

Doing business as HealthBridge Children's Hospital

  • Special Hospital
  • Orange, CA
National Provider Identifier
1528662954
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
VSC HBO, LLC
Doing business as
HealthBridge Children's Hospital
Practice address
393 S Tustin St
Orange, CA 92866-2501
Phone
(714) 289-2400
Fax
(714) 289-2367
NPI assigned
Nov 25, 2020
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Roberta Louise Consolver, RN
Title
Ceo
Phone
(714) 289-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

393 S Tustin St
Orange, CA 92866-2501

Mailing address

393 S Tustin St
Orange, CA 92866-2501
Phone (714) 289-2400

Other practice location 1

2850 Red Hill Ave Ste 140
Santa Ana, CA 92705-5539
Phone (714) 957-4074

Other names 1

  • HealthBridge Children's Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210324002349 CA Part A Provider - Skilled Nursing Facility 9234542267 Practice locations: Orange, CA
O20210408002175 CA Part A Provider - Hospital 9234542267 Practice locations: Orange, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1528662954. Details of each certification follow.

Skilled nursing facility certification: CCN 555753

Legal name
VSC HBO, LLC
Doing business as
HEALTHBRIDGE CHIILDREN'S HOSPITAL - ORANGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 23, 2000
Last certification
Feb 24, 2025
Beds
21
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
393 S Tustin St
Orange, CA 92866-2501
Nursing home name
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF

Hospital certification: CCN 053308

Legal name
VSC HBO, LLC
Doing business as
HEALTHBRIDGE CHILDREN'S HOSPITAL-ORANGE
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Feb 23, 2000
Last certification
Apr 6, 2016
Beds
6
Ownership / control type
Private (for profit)
Most recent change of ownership
Apr 1, 2021 (1 total)
Organization structure
LLCProprietary
Enrollment address
395 S Tustin St
Orange, CA 92866-2501
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Healthbridge Children's Hospital - OrangeCCN 053308 · All quality measures
Type
Childrens
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Care Compare: Nursing home

Medicare Care Compare
Listed as
Healthbridge Children's Hospital - Orange D/P SNFCCN 555753 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 23, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2120.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
VSC Hbo LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

393 S Tustin St
Orange, CA 92866
Phone (714) 289-2400

395 S Tustin St
Orange, CA 92866
Phone (714) 289-2400

2850 Red Hill Ave
Ste 140
Santa Ana, CA 92705
Phone (714) 957-4074

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
HB Tenant Holdings LLC Organization, Tustin, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 21, 2020 100%
Daniel S Larson Individual 5% Or Greater Indirect Ownership Interest Sep 21, 2020 16.67%
Operational/Managerial ControlBoard of Managers Sep 21, 2020
Vivra Pediatric Care, LLC Organization, Saint Louis, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 21, 2020 50%
Aha Healthbridge Partners, LLC Organization, Saint Louis, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 21, 2020 100%
Sherri L Medina Individual 5% Or Greater Direct Ownership Interest Sep 21, 2020 16.67%
Operational/Managerial ControlBoard of Managers Sep 21, 2020
Operational/Managerial ControlBoard Managers Sep 21, 2020
David B. Weiss Revocable Trust Organization, Saint Louis, MO 5% Or Greater Indirect Ownership Interest Sep 21, 2020 10%
Dodici Holdings LLC Organization, Saint Louis, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 21, 2020 16.67%
Ascension Care Continuum, LLC Organization, St Louis, MO LLC 5% Or Greater Indirect Ownership Interest Sep 21, 2020 50%
Roberta L Consolver Individual W-2 Managing EmployeeHospital Administrator Sep 21, 2020
W-2 Managing EmployeeHosptial Administrator Sep 21, 2020
Carondelet Health Organization, St Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 21, 2020 50%
David B Weiss Individual 5% Or Greater Indirect Ownership InterestBoard of Mangers Sep 21, 2020
5% Or Greater Indirect Ownership Interest Sep 21, 2020 10%
Operational/Managerial ControlBoard of Managers Sep 21, 2020
Barbara L. Weiss Irrevocable Trust Organization, Saint Louis, MO 5% Or Greater Indirect Ownership Interest Sep 21, 2020 6.67%
VSC Hbo, LLC Organization, Tustin, CA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 21, 2020 100%

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1528662954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662501",
            "telephone_number": "714-289-2400",
            "fax_number": "714-289-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662501",
            "telephone_number": "714-289-2400",
            "fax_number": "714-289-2367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 Red Hill Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055539",
            "country_code": "US",
            "telephone_number": "714-957-4074",
            "fax_number": "714-289-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VSC HBO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CONSOLVER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-289-2400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBridge Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.