Ahmc Seton Medical Center LLC
Organization Active NPI General Acute Care Hospital · Daly City, CA
NPI 1841809415 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1841809415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- AHMC SETON MEDICAL CENTER LLC
- Practice address
- 1900 Sullivan Ave
Daly City, CA 94015-2200 - Phone
- (650) 992-4000
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Linda Marsh
- Title
- Senior Executive Vice President
- Phone
- (626) 705-0972
Owners & managing parties with NPI records 4
-
Thomas B Hazlehurst, M.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 4
Member organizations 1
Affiliated clinicians 2
-
Thomas B Hazlehurst, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Ahmc Seton Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 18, 1986
- Medicare certification status
- Active
- Certified beds
- 186 · 99.2 residents per day on average
- Chain
- Ahmc Healthcare
- Penalties (3 years)
- 6 · fines totaling $41,019
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555235
- Legal name
- AHMC SETON MEDICAL CENTER LLC
- Doing business as
- AHMC SETON MEDICAL CENTER COASTSIDE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 18, 1986
- Last certification
- Feb 14, 2024
- Beds
- 186
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 23, 2020 in CA
- Enrollment address
- 1900 Sullivan Ave
Daly City, CA 94015-2200 - Nursing home name
- AHMC SETON MEDICAL CENTER
- Affiliated entity
- AHMC HEALTHCARE
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmc, Inc. |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 7.77% |
| Gong, Nashed, Pascoe, Inc |
Adp of the SNF | Jan 27, 2021 | |
| Mochi Group LP |
5% Or Greater Direct Ownership Interest | Jan 27, 2021 | 19% |
| Olivia Joy Investment Corp |
5% Or Greater Direct Ownership Interest | Jan 27, 2021 | 20% |
| Ahmc Healthcare Inc. |
Operational/Managerial Control | Jan 27, 2021 | |
| Adp of the SNF | Jan 27, 2021 | ||
| Direct Ownership Interest | Jan 27, 2021 | 0.25% | |
| Thomas B Hazlehurst |
Operational/Managerial Control | Nov 1, 2020 | |
| Adp of the SNF | Nov 1, 2020 | ||
| Ahmc Healthcare, LP |
5% Or Greater Direct Ownership Interest | Jan 27, 2021 | 60.75% |
| Joy Yu Chu Lin |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 10% |
| Yi Kun Wu |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 24% |
| Sarkis Vartanian |
Corporate Officer |
Apr 26, 2021 | |
| Operational/Managerial Control | Apr 26, 2021 | ||
| Adp of the SNF | Apr 26, 2021 | ||
| Amy Shlow- Yeh Liang |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 5.46% |
| Lilian L. Gong & Associates, Inc. |
Adp of the SNF | Jan 27, 2021 | |
| Evergreen Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2022 | 9.31% |
| Apex Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2022 | 9.31% |
| Matthew Yuan Ching Lin |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 10% |
| Alhambra Hospital Medical Center, LP |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 19.88% |
| SMC/Coastside Properties LLC |
Adp of the SNF | Aug 14, 2020 | |
| Calmed Investment LP |
5% Or Greater Indirect Ownership Interest | Jan 27, 2021 | 34.67% |
| C. Jim Chen Accountancy Corp |
Adp of the SNF | Jan 27, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210215000794 | CA | Part a Provider - Skilled Nursing Facility | 3577978048 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Daly City, CA |
National Provider Directory
- Tax ID family
- Ahmc Seton Medical Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1900 Sullivan Ave
Daly City, CA 94015-2200
Mailing address
55 S Raymond Ave Ste 105
Alhambra, CA 91801-7101
Phone (626) 705-0972
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC70037G | Medicaid | CA |
Other names
- SETON MEDICAL CENTER,SETON MEDICAL CENTER COASTSIDE
Other providers in Daly City, CA
- Rowshan Ahani
- Ahmc Seton Medical Center LLC
- Ahmc Seton Medical Center LLC
- Ahmc Seton Medical Center LLC
- Ahmc Seton Medical Center LLC
- Marjorie Mee Ahn
- Andrew Alarid
- Fanny Albano
- Mark A. Alderdice
- Aldrich Sy, DDS, MD Inc
All providers in Daly City, CA · General Acute Care 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 Jul 29, 2020. 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.