Organization Active NPI

Palomar Heights Healthcare, LLC

  • Skilled Nursing Facility
  • Escondido, CA
National Provider Identifier
1700510252
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PALOMAR HEIGHTS HEALTHCARE, LLC
Practice address
1260 E Ohio Ave
Escondido, CA 92027-3054
Phone
(760) 746-1100
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1260 E Ohio Ave
Escondido, CA 92027-3054

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Palomar Heights Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230421000785 CA Part A Provider - Skilled Nursing Facility 4880059062 Practice locations: Escondido, CA

Skilled nursing facility certification: CCN 555764

Legal name
PALOMAR HEIGHTS HEALTHCARE, LLC
Doing business as
PALOMAR HEIGHTS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 6, 2000
Last certification
May 30, 2025
Beds
98
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Most recent change of ownership
Aug 1, 2022
Organization structure
LLCProprietary
Incorporated
Jun 15, 2022 in CA
Enrollment address
1260 E Ohio Ave
Escondido, CA 92027-3054
Nursing home name
PALOMAR HEIGHTS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Palomar Heights Post AcuteCCN 555764
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 6, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9882.6 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $8,176

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
05D0670999Palomar Heights Post Acute1260 E Ohio Ave, Escondido, CA 92027Certificate of waiverAug 31, 2026

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
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 15, 2022 100%
Brandon Warr Individual W-2 Managing EmployeeAdministrator Aug 1, 2022
Operational/Managerial ControlAdministrator Aug 1, 2022
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2022 50%
Corporate OfficerPresident/Ceo Jun 15, 2022
John T Mitchell Individual Corporate OfficerVice President/Asst Secretary Jun 15, 2022
Frederick G Apt Individual Corporate OfficerVice President/Asst Treasurer Jun 15, 2022
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Jun 15, 2022 50%
Corporate OfficerVice President/Cfo/Secretary Jun 15, 2022

Facilities with the same owner 80

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

View all 80

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1700510252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273054",
            "telephone_number": "760-746-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEIGHTS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Heights Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palomar Heights Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.