Kaweah Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

120000588 Issued in CA

Legal business name

KAWEAH MANOR, INC.

Doing business as

Kaweah Manor Convalescent Hospital

Practice address

3710 W Tulare Ave
Visalia, CA 93277-1732

Phone

(559) 732-2244

NPI assigned

Oct 18, 2006

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Higbee

Title

Cfo

Phone

(559) 688-0288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kaweah Manor Convalescent Hospital Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871674358. Details of each certification follow.

• CCN 055916 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055916

Legal name

KAWEAH MANOR, INC.

Doing business as

KAWEAH MANOR CONVALESCENT HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 17, 1974

Last certification

Dec 5, 2024

Beds

99

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 29, 2002 in CA

Enrollment address

3710 W Tulare Ave
Visalia, CA 93277-1732

Nursing home name

SEQUOIA VISTA

Listed as

Sequoia VistaCCN 055916 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 17, 1974

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9988.5 residents per day on average

Penalties (3 years)

4Fines totaling $46,078

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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

Affiliated clinicians 4

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

• Mehdi Hakimipour, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1194987297

  Nursing home

  Care Compare affiliation
• Chinedu Nwagwu, MD

  • Hospitalist Physician
  • Fresno, CA
  • NPI 1770112054

  Nursing home

  Care Compare affiliation
• Rebecca Ann Zulim, M.D.

  • Surgery Physician
  • Visalia, CA
  • NPI 1720045826

  Nursing home

  Care Compare affiliation
• Jiakun Wang, MD

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1912177627

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1871674358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 W TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 W TULARE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771732",
            "telephone_number": "559-732-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "HIGBEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-688-0288"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "120000588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05916J",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Manor Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaweah Delta Health Care District (Kaweah Health Hospice)
• Kaweah Delta Health Care District (Kaweah Health Rehabilitation Hospital)
• Kaweah Delta Health Care Inc
• Kaweah Delta Health Care Inc (Kaweah Health Medical Group)
• Kaweah Dental Inc (Kaweah Dental)
• Kaweah Neurological Surgery Associates
• Kaweah Orthopedic & Prosthetics Inc,.
• Kaweah Rehab Group Inc
• Robert N. Kay, CADC-I
• KC Martin Nursing Anesthesia Inc

• Skilled Nursing Facility in Visalia, CA
• Providers in Visalia, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.