Organization Active NPI

KC PBG Health Center, LLC

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1962846709
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KC PBG HEALTH CENTER, LLC
Practice address
3600 Masterpiece Way
Palm Beach Gardens, FL 33410-2872
Phone
(561) 514-5000
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Andrew Scott Kohlberg
Title
President
Phone
(760) 804-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3600 Masterpiece Way
Palm Beach Gardens, FL 33410-2872

Mailing address

5790 Fleet St
Suite 300
Carlsbad, CA 92008-4703
Phone (760) 804-5900

Other names 1

  • La Posada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010000040 FL Part A Provider - Skilled Nursing Facility 1850525627 Practice locations: Palm Beach Gardens, FL

Skilled nursing facility certification: CCN 106067

Legal name
KC PBG HEALTH CENTER, LLC
Doing business as
NURSING CENTER AT LA POSADA
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 25, 2005
Last certification
Oct 30, 2024
Beds
40
Ownership / control type
Individual
Most recent change of ownership
Aug 1, 2013
Organization structure
LLCProprietary
Enrollment address
3600 Masterpiece Way
Palm Beach Gardens, FL 33410-2872
Nursing home name
NURSING CENTER AT LA POSADA, THE
Affiliated entity
KISCO SENIOR LIVING

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nursing Center at La Posada, TheCCN 106067
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Individual
Certified
Mar 25, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4038.3 residents per day on average
Chain
Kisco Senior Living2 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 23

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

NameRoleSinceShare
Withumsmith Brown PC Organization, Princeton, NJ Corporation Adp of the SNF Jan 1, 2016
Karen Davis Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2013 2.57%
KC PBG Health Center, LLC Organization, Carlsbad, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Operational/Managerial Control Aug 1, 2013
KC Palm Beach Gardens LLC Organization, Carlsbad, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 10, 2012 100%
Adp of the SNF Aug 22, 2025
Careone Pharmacy Services LLC Organization, Deerfield Beach, FL LLC Adp of the SNF Apr 1, 2018
KSL Communities LP Organization, Carlsbad, CA Owned by another organization or individual Indirect Ownership Interest Aug 1, 2013 2.34%
Javier J Canasi Individual Operational/Managerial Control May 9, 2014
Adp of the SNF May 9, 2014
Kisco Senior Living LLC Organization, Carlsbad, CA LLC, Management services company Adp of the SNF Aug 1, 2013
Jam Kohlberg Family LLC Organization, Carlsbad, CA LLC, Owned by another organization or individual Indirect Ownership Interest Aug 1, 2013 4%
Sabrina Hughes-Glodon Individual Operational/Managerial Control Mar 8, 2024
Adp of the SNF Mar 8, 2024
Horizon Loan Holdings LLC Organization, Carlsbad, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Adp of the SNF Aug 1, 2013
Scott Kohlberg Individual Corporate OfficerPresident & Ceo Jan 11, 2013
Operational/Managerial Control Aug 1, 2013
Adp of the SNF Aug 1, 2013
Indirect Ownership Interest Aug 1, 2013 70.46%
Bradley Cadiere Individual Operational/Managerial Control Oct 16, 2013
Adp of the SNF Oct 16, 2013
Petersham General Inc Organization, Petersham, MA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2013 18.04%
Adp of the SNF Aug 1, 2013
James Hands Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2013 2.57%
KSL Associate Group Inc Organization, Carlsbad, CA Corporation Adp of the SNF Aug 1, 2013
Health Technologies, Inc Organization, Saint Louis, MO Corporation Adp of the SNF Jan 28, 2020
A Quality Staffing LLC Organization, Lake Mary, FL LLC Adp of the SNF Aug 1, 2013
Jamelia Williams Individual Operational/Managerial Control Mar 20, 2025
Adp of the SNF Mar 20, 2025
Bmo Bank National Association Organization, Chicago, IL Corporation, Owned by another organization or individual 5% Or Greater Mortgage Interest Jun 24, 2025 100%
Adp of the SNF Jun 24, 2025
John Hanna Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2023 9.5%
Corporate OfficerCfo Jul 1, 2018
Operational/Managerial Control Jul 1, 2018
Horizon LP Uv Lender LLC Organization, Carlsbad, CA LLC 5% Or Greater Indirect Ownership Interest Sep 10, 2012 100%
Med-Pass Incorporated Organization, Dayton, OH Corporation Adp of the SNF Apr 1, 2019

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1962846709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 FLEET ST",
            "address_2": "SUITE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084703",
            "telephone_number": "760-804-5900",
            "fax_number": "760-804-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MASTERPIECE WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102872",
            "telephone_number": "561-514-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PBG HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "KOHLBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-804-5900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Posada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.