Organization Active NPI

THC - Orange County LLC

Doing business as Kindred Hospital - Brea

  • Long Term Care Hospital
  • Brea, CA
National Provider Identifier
1780768416
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
060000407 Issued in CA
Legal business name
THC - ORANGE COUNTY LLC
Doing business as
Kindred Hospital - Brea
Practice address
875 N Brea Blvd
Brea, CA 92821
Phone
(714) 529-6842
Fax
(714) 256-1041
NPI assigned
Oct 25, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Johnetta Traylor
Title
Dir Licensure & Certification
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 060000407 CA Primary

Addresses

Primary practice location

875 N Brea Blvd
Brea, CA 92821

Mailing address

875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 529-6842

Other identifiers 1

IdentifierTypeStateIssuer
HSP30711FMedicaidCA

Other names 1

  • Kindred Hospital - Brea Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000578 CA Part A Provider - Hospital 8426967795 1 other NPI on this enrollment
Practice locations: Santa Ana, CA; Brea, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780768416. Details of each certification follow.

Hospital certification: CCN 052039

Legal name
THC - ORANGE COUNTY LLC
Doing business as
KINDRED HOSPITAL BREA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Dec 1, 1995
Last certification
Apr 8, 1995
Beds
48
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
875 N Brea Blvd
Brea, CA 92821-2606
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital BreaCCN 052039 · All quality measures
Ownership
For profit
Certified
Dec 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Beds
48

National Provider Directory

National Provider Directory
Tax ID family
THC Orange County Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

875 N Brea Blvd
Ste CB875
Brea, CA 92821

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY For-profit 5% Or Greater Direct Ownership Interest Sep 9, 2008 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Sep 9, 2008 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
W-2 Managing EmployeeAd; Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerPresident and Cfo Aug 22, 2022
Kevin Chavez Individual Operational/Managerial ControlCeo / Administrator Jul 8, 2019
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVice President- Tax May 28, 2015
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Jul 2, 2018

Facilities with the same owner 97

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

View all 97

Practitioners & affiliated clinicians

Affiliated clinicians 56

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1780768416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212606",
            "telephone_number": "714-529-6842",
            "fax_number": "714-256-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N BREA BLVD",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-529-6842",
            "fax_number": "714-256-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - ORANGE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "DIR LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "060000407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30711F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Brea",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Brea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.