Palomar Health Rehabilitation Institute, LLC
Organization Active NPI Rehabilitation Hospital · Escondido, CA
NPI 1831702398 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1831702398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- Legal business name
- PALOMAR HEALTH REHABILITATION INSTITUTE, LLC
- Practice address
- 2181 Citracado Parkway
Escondido, CA 92029-4159 - Phone
- (442) 277-6100
- Fax
- (442) 277-6101
- NPI assigned
- Aug 25, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Whitney
- Title
- Chief Executive Officer
- Phone
- (760) 445-5478
Owners & managing parties with NPI records 3
Member of 1
Facilities with the same owner 73
Affiliated clinicians 5
-
Jihad Jaffer, MD
-
Punit Mayankkumar Patel, D.O.
-
Rishi Shah, MD
-
Arthur Yan, DO
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Palomar Rehabilitation Institute
- Ownership
- Non-profit
- Certified
- Jun 10, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2220419 | Palomar Health Rehabilitation | Certificate of waiver | Apr 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 053043
- Legal name
- PALOMAR HEALTH REHABILITATION INSTITUTE, LLC
- Doing business as
- PALOMAR REHABILITATION INSTITUTE
- Certification status
- Active
- Provider type (POS)
- Hospital – Rehabilitation
- Participating since
- Jun 10, 2021
- Last certification
- Jun 10, 2021
- Beds
- 52
- Ownership / control type
- Other
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2181 Citracado Pkwy
Escondido, CA 92029-4159 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Sharon S Smeltzer |
Corporate Director |
Apr 27, 2021 | |
| Palomar Health |
5% Or Greater Direct Ownership Interest | Apr 27, 2021 | 49% |
| Lifepoint Rehab Blocker LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2022 | 51% |
| CHC Management Services LLC |
Operational/Managerial Control | Apr 27, 2021 | |
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 51% |
| LPNT Development 56, LLC |
5% Or Greater Direct Ownership Interest | Apr 27, 2021 | 51% |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 51% |
| Virginia Barragan |
Corporate Director |
Apr 27, 2021 | |
| Marcus B Poppell |
Other |
Dec 23, 2021 | |
| Cleve C Haralson |
Corporate Director |
Apr 27, 2021 | |
| Michael Bogert |
Corporate Director |
Apr 27, 2021 | |
| Jennifer Whitney |
Corporate Officer |
Dec 20, 2021 | |
| Operational/Managerial Control |
Dec 20, 2021 | ||
| Russell a Bailey |
Corporate Director |
Apr 27, 2021 | |
| Sheila Brown |
Corporate Director |
Apr 27, 2021 | |
| Lifepoint Rehab Blocker Parent LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2022 | 51% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210225001269 | CA | Part a Provider - Hospital | 1850706839 | Practice locations: Escondido, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Yes |
Addresses
Primary practice location
2181 Citracado Parkway
Escondido, CA 92029-4159
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6505
Other names
- Palomar Rehabilitation Institute
Other providers in Escondido, CA
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Health
- Palomar Heights Care Center, LLC
- Palomar Heights Healthcare, LLC
- Palomar Hospitalist Medical Group, Inc
- Palomar Intensivist Medical Group, Inc
- Palomar Medical Group, Inc
All providers in Escondido, CA · Rehabilitation Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.