NPIMap

Organization Active NPI

GHC of Pleasanton, LLC

Doing business as Pleasanton Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Pleasanton, CA
National Provider Identifier
1750385167
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
140000091 Issued in CA
Legal business name
GHC OF PLEASANTON, LLC
Doing business as
Pleasanton Nursing & Rehabilitation Center
Practice address
300 Neal St
Pleasanton, CA 94566-7317
Phone
(925) 462-2400
Fax
(925) 621-4997
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 140000091 CA Primary

Addresses

Primary practice location

300 Neal St
Pleasanton, CA 94566-7317

Mailing address

300 Neal St
Pleasanton, CA 94566-7317
Phone (925) 462-2400

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06392IMedicaidCA

Other names 1

  • Pleasanton 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 CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030530000073 CA Part A Provider - Skilled Nursing Facility 5092625376 Practice locations: Pleasanton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750385167. Details of each certification follow.

Skilled nursing facility certification: CCN 056392

Legal name
GHC OF PLEASANTON, LLC
Doing business as
PLEASANTON NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 18, 1973
Last certification
Mar 27, 2025
Beds
139
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healthcare, LLC
Organization structure
LLCProprietary
Incorporated
May 1, 2003 in CA
Enrollment address
300 Neal St
Pleasanton, CA 94566-7317
Nursing home name
PLEASANTON NURSING AND REHABILITATION CENTER
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pleasanton Nursing and Rehabilitation CenterCCN 056392 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 18, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
139126.0 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
05D0879074Pleasanton Nursing and Rehabilitation Center300 Neal Street, Pleasanton, CA 94566Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

22035 S Vermont Ave
Torrance, CA 90502
Phone (310) 328-0812

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 Indirect Ownership InterestChief Financial Officer 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 Indirect Ownership InterestCeo/President Feb 1, 1998 78.13%
Corporate OfficerCeo/President Feb 10, 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 Jan 10, 1997 100%
Bmo Bank National Association Organization, Chicago, IL Financial institution 5% Or Greater Security Interest Sep 20, 2023

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 9

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": "1750385167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NEAL ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667317",
            "telephone_number": "925-462-2400",
            "fax_number": "925-621-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEAL ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667317",
            "telephone_number": "925-462-2400",
            "fax_number": "925-621-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF PLEASANTON, 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": "140000091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06392I",
            "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": "Pleasanton Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.