NPIMap

Organization Active NPI

Palomar Health Rehabilitation Institute, LLC

Doing business as Palomar Rehabilitation Institute

  • Rehabilitation Hospital
  • Escondido, CA
National Provider Identifier
1831702398
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
PALOMAR HEALTH REHABILITATION INSTITUTE, LLC
Doing business as
Palomar Rehabilitation Institute
Practice address
2181 Citracado Parkway
Escondido, CA 92029-4159
Phone
(442) 277-6100
Fax
(442) 277-6101
NPI assigned
Aug 25, 2020
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Jennifer Whitney
Title
Chief Executive Officer
Phone
(760) 445-5478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

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 1

  • Palomar Rehabilitation Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210225001269 CA Part A Provider - Hospital 1850706839 Practice locations: Escondido, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831702398. Details of each certification follow.

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
LLCProprietary
Enrollment address
2181 Citracado Pkwy
Escondido, CA 92029-4159
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Palomar Rehabilitation InstituteCCN 053043 · All quality measures
Ownership
Non-profit
Certified
Jun 10, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2220419Palomar Health Rehabilitation2181 Citracado Parkway, Escondido, CA 92029Certificate of waiverApr 11, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Palomar Health

    dba Palomar Medical Center Escondido

    • General Acute Care Hospital
    • Escondido, CA
    • NPI 1457321317

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Sharon S Smeltzer Individual Corporate DirectorBoard Member Apr 27, 2021
Palomar Health Organization, Escondido, CA Non-profit 5% Or Greater Direct Ownership Interest Apr 27, 2021 49%
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 51%
CHC Management Services LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control Apr 27, 2021
DSB Acquisition LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 51%
LPNT Development 56, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 27, 2021 51%
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 23, 2021 51%
Virginia Barragan Individual Corporate DirectorBoard Member Apr 27, 2021
Marcus B Poppell Individual OtherVice President Dec 23, 2021
Cleve C Haralson Individual Corporate DirectorBoard Member Apr 27, 2021
Michael Bogert Individual Corporate DirectorBoard Member Apr 27, 2021
Jennifer Whitney Individual Corporate OfficerCeo Dec 20, 2021
Operational/Managerial ControlCeo Dec 20, 2021
Russell a Bailey Individual Corporate DirectorBoard Member Apr 27, 2021
Sheila Brown Individual Corporate DirectorBoard Member Apr 27, 2021
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2022 51%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Palomar Health

    dba Palomar Medical Center Poway

    • General Acute Care Hospital
    • Poway, CA
    • NPI 1376513754

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Palomar Health

    dba Palomar Medical Center Escondido

    • General Acute Care Hospital
    • Escondido, CA
    • NPI 1457321317

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Palomar Health

    dba The Villas at Poway

    • Skilled Nursing Facility
    • Poway, CA
    • NPI 1619947090

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 73

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

View all 73

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1831702398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6505",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 CITRACADO PARKWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "telephone_number": "442-277-6100",
            "fax_number": "442-277-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMAR HEALTH REHABILITATION INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-445-5478"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Rehabilitation Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palomar Rehabilitation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.