Organization Active NPI

S.C.C.H., Inc.

Doing business as Courtyard Care Center

  • Skilled Nursing Facility
  • Signal Hill, CA
National Provider Identifier
1942285440
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
940000159 Issued in CA
Legal business name
S.C.C.H., INC.
Doing business as
Courtyard Care Center
Practice address
1880 Dawson Ave
Signal Hill, CA 90806-5913
Phone
(562) 494-5188
NPI assigned
Dec 7, 2005
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Marc Johnson
Title
Chief Financial Officer
Phone
(949) 373-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 940000159 CA Primary

Addresses

Primary practice location

1880 Dawson Ave
Signal Hill, CA 90806-5913

Mailing address

1880 Dawson Ave
Signal Hill, CA 90755-5913
Phone (562) 494-5188

Other names 1

  • COURTYARD CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127001403 CA Part A Provider - Skilled Nursing Facility 0648399725 Practice locations: Signal Hill, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942285440. Details of each certification follow.

Skilled nursing facility certification: CCN 555785

Legal name
S.C.C.H., INC.
Doing business as
COURTYARD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 5, 1997
Last certification
Oct 18, 2024
Beds
59
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
May 28, 1993 in NV
Enrollment address
1880 Dawson Ave
Signal Hill, CA 90755-5913
Nursing home name
COURTYARD CARE CENTER
Affiliated entity
NAHS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Courtyard Care CenterCCN 555785 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 5, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5954.8 residents per day on average
Chain
Nahs12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
05D0875354Courtyard Care Center1880 Dawson Avenue, Signal Hill, CA 90806Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

1880 Dawson Ave
Signal Hill, CA 90755
Phone (562) 494-5188

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Mark Walton Individual Corporate OfficerSecretary Jun 29, 2018
Corporate DirectorDirector Jun 29, 2018
James Barlow Individual Corporate DirectorDirector Jun 29, 2018
Timothy J Paulsen Individual Corporate DirectorChairperson of the Board Jun 29, 2018
Michael J Moore Individual Corporate OfficerPresident Feb 1, 2022
Corporate DirectorDirector Feb 1, 2022
Brenden Q Dahl Individual Corporate DirectorDirector Feb 20, 2026
Managing Control - Governing BodyDirector Feb 20, 2026
Vannarith So Individual Operational/Managerial Control Oct 1, 2012
Adp of the SNF Oct 1, 2012
Fernan Tolentino Individual Corporate OfficerPresident/Administrator Mar 13, 2025 100%
Corporate DirectorDirector Mar 13, 2025 100%
Operational/Managerial Control Mar 13, 2025
Managing Control - Governing BodyCorporate Director Mar 13, 2025
Adp of the SNF Mar 13, 2025
Victor G Lundquist Individual Corporate OfficerSecretary Mar 21, 2018
Nahs Southwest Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2018 100%
Organization, Mission Viejo, CA Indirect Ownership Interest Jun 30, 2018 100%
Marc Johnson Individual Corporate OfficerCfo/Officer Nov 20, 2022
Adp of the SNF Nov 20, 2022
Organization, Mission Viejo, CA Corporation, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jun 30, 2018 100%
Ralph Baja Individual Corporate DirectorDirector Jul 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 2

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

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": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1942285440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 DAWSON AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907555913",
            "telephone_number": "562-494-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 DAWSON AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "908065913",
            "telephone_number": "562-494-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C.C.H., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COURTYARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COURTYARD CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.