NPIMap

Organization Active NPI

GHC of San Jacinto LLC

  • Skilled Nursing Facility
  • San Jacinto, CA
National Provider Identifier
1881458966
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GHC OF SAN JACINTO LLC
Practice address
980 W 7TH St
San Jacinto, CA 92582-3814
Phone
(714) 241-5600
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Thomas Olds
Title
President
Phone
(714) 241-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

980 W 7TH St
San Jacinto, CA 92582-3814

Mailing address

6 Hutton Centre Dr Ste 400
Santa Ana, CA 92707-8762
Phone (714) 241-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903001565 CA Part A Provider - Skilled Nursing Facility 0143769257 Practice locations: San Jacinto, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881458966. Details of each certification follow.

Skilled nursing facility certification: CCN 055598

Legal name
GHC OF SAN JACINTO LLC
Doing business as
THE BRADLEY GARDENS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 29, 1968
Last certification
Mar 29, 2024
Beds
44
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Generations Healthcare
Organization structure
LLCProprietary
Enrollment address
980 W 7TH St
San Jacinto, CA 92582-3814
Nursing home name
THE BRADLEY GARDENS
Affiliated entity
GENERATIONS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Bradley GardensCCN 055598 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 29, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4442.7 residents per day on average
Chain
Generations Healthcare27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Lois a Mastrocola Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 9.18%
Corporate OfficerCfo Apr 1, 2024
Operational/Managerial Control Apr 1, 2024
Adp of the SNF Mar 31, 2024
Rajwant Sandhu Individual Operational/Managerial Control Apr 1, 2024
Thomas Olds Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 100%
Operational/Managerial Control Apr 1, 2024
Adp of the SNF Mar 31, 2024
San Jacinto Real Estate LLC Organization, Santa Ana, CA LLC, For-profit Adp of the SNF Mar 31, 2024
Lauren Calvani Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Jun 13, 2025
Fred Smith Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 12.69%
Adp of the SNF Mar 31, 2024
Edward Wylie Individual Operational/Managerial Control Apr 29, 2024
Neija Ahmed Individual Operational/Managerial Control Aug 27, 2024
Life Generations Healthcare, LLC Organization, Santa Ana, CA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1881458966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUTTON CENTRE DR STE 400",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927078762",
            "telephone_number": "714-241-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W 7TH ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823814",
            "telephone_number": "714-241-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC OF SAN JACINTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "OLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-241-5600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.