Organization Active NPI

St. Paul's Episcopal Home, Inc.

Doing business as St. Paul's Health Care Center

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1972619104
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
090000181 Issued in CA
Legal business name
ST. PAUL'S EPISCOPAL HOME, INC.
Doing business as
St. Paul's Health Care Center
Practice address
235 Nutmeg St
San Diego, CA 92103-6201
Phone
(619) 239-8687
Fax
(619) 239-1201
NPI assigned
Aug 21, 2006
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Sheilah Molina
Title
Senior Accounting Manager
Phone
(619) 239-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 090000181 CA Primary

Addresses

Primary practice location

235 Nutmeg St
San Diego, CA 92103-6201

Mailing address

328 Maple St
San Diego, CA 92103-6522
Phone (619) 239-6900

Other identifiers 1

IdentifierTypeStateIssuer
LTC55144FMedicaidCA

Other names 1

  • St. Paul's Health 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
O20080506000859 CA Part A Provider - Skilled Nursing Facility 7315026002 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972619104. Details of each certification follow.

Skilled nursing facility certification: CCN 555144

Legal name
ST PAUL'S EPISCOPAL HOME INC
Doing business as
ST. PAUL'S SENIOR SERVICES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 25, 1991
Last certification
Apr 7, 2023
Beds
59
Ownership / control type
Nonprofit Corporation
Multi-facility organization
St. Paul's Episcopal Home
Organization structure
CorporationNon-profit
Incorporated
Aug 31, 1960 in CA
Enrollment address
235 Nutmeg St
San Diego, CA 92103-6201
Nursing home name
ST. PAULS HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
St. Pauls Health Care CenterCCN 555144 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 25, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5953.4 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $44,890

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Ronald F Ellenich Individual Corporate Officer Jan 26, 2026
Operational/Managerial Control Oct 20, 2025
Adp of the SNF Feb 6, 2026
Kitty Dekieffer Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
Mary Keller Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
Philip Greiner Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
George Vieu Individual Corporate OfficerVP of Finance Dec 16, 2023
Operational/Managerial Control Apr 17, 2023
Adp of the SNF Apr 17, 2023
Jacob Sutton Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
Saleem Rajper Individual Corporate OfficerMedical Director Jan 26, 2026
Operational/Managerial Control Jan 26, 2026
Adp of the SNF Feb 6, 2026
St Paul's Episcopal Home Inc Organization, San Diego, CA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1980 100%
Adp of the SNF Jan 1, 1980
Sophia Lukas Individual Corporate OfficerCoo Feb 20, 2023
Operational/Managerial Control Feb 20, 2023
Managing Control - Governing Body Feb 20, 2023
Adp of the SNF Feb 20, 2023
Michael S McHale Individual Corporate OfficerCeo Apr 11, 2022
Operational/Managerial Control Apr 11, 2022
Adp of the SNF Apr 11, 2022
Dan Gross Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
David Marusiak Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025
Patrick Edd Individual Corporate Director Jun 23, 2025
Trustee of the SNF Jun 23, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tru Community CareLafayette, CO, CCN 067464 Home health agency Operational/Managerial Control (100%) Jul 1, 2025
Tru Community CareLafayette, CO, CCN 061501 Hospice Operational/Managerial Control (100%) Jul 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1972619104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 MAPLE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036522",
            "telephone_number": "619-239-6900",
            "fax_number": "619-239-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NUTMEG ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036201",
            "telephone_number": "619-239-8687",
            "fax_number": "619-239-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL'S EPISCOPAL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "SENIOR ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "619-239-6900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "090000181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55144F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Paul's Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.