Active NPI
Swamis Holdings LLC
- Skilled Nursing Facility
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SWAMIS HOLDINGS LLC
- Practice address
- 38650 Mission Blvd
Fremont, CA 94536-4391 - Phone
- (510) 793-3000
- NPI assigned
- Oct 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Gill
- Title
- Ceo
- Phone
- (760) 656-6985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
38650 Mission Blvd
Fremont, CA 94536-4391
Mailing address
701 Palomar Airport Rd Ste 230
Carlsbad, CA 92011-1046
Phone (760) 656-6985
Other names 1
- Niles Canyon Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200103001526 | CA | Part A Provider - Skilled Nursing Facility | 6103250915 | Practice locations: Fremont, CA |
Skilled nursing facility certification: CCN 055562
- Legal name
- SWAMIS HOLDINGS LLC
- Doing business as
- NILES CANYON POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1978
- Last certification
- Feb 17, 2024
- Beds
- 73
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- West Harbor Healthcare
- Organization structure
- LLC
- Incorporated
- Sep 6, 2019 in CA
- Enrollment address
- 38650 Mission Blvd
Fremont, CA 94536-4391 - Nursing home name
- NILES CANYON POST ACUTE
- Affiliated entity
- WEST HARBOR HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Niles Canyon Post Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1978
- Medicare certification status
- Active
- Certified beds
- 73
- Chain
- West Harbor Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Cameron Rosenhan | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 10% |
| Corporate Officer | Oct 1, 2019 | 10% | |
| Operational/Managerial Control | Oct 1, 2019 | 10% | |
| Kevin Galbasini | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 40% |
| Corporate Officer | Oct 1, 2019 | 40% | |
| Operational/Managerial Control | Oct 1, 2019 | 40% | |
| West Harbor Healthcare LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2019 | 100% |
| Daniel Gill | 5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 40% |
| Corporate Officer | Oct 1, 2019 | 40% | |
| Operational/Managerial Control | Oct 1, 2019 | 40% |
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Yuba City, CA
- NPI 1497223226
West Harbor Healthcare LLC
-
- Skilled Nursing Facility
- Redding, CA
- NPI 1942722202
West Harbor Healthcare LLC
-
- Skilled Nursing Facility
- Concord, CA
- NPI 1730977828
West Harbor Healthcare LLC
-
- Skilled Nursing Facility
- Gridley, CA
- NPI 1083387765
West Harbor Healthcare LLC
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1942906391
West Harbor Healthcare LLC
-
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1861845836
West Harbor Healthcare LLC
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1571270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1851933261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PALOMAR AIRPORT RD STE 230",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920111046",
"telephone_number": "760-656-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38650 MISSION BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364391",
"telephone_number": "510-793-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWAMIS HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-17",
"last_updated": "2023-08-18",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-656-6985"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Niles Canyon Post Acute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Niles Canyon Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.