Active NPI
THC - Orange County LLC
- Long Term Care Hospital
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 090000059
- Legal business name
- THC - ORANGE COUNTY LLC
- Practice address
- 1940 El Cajon Blvd
San Diego, CA 92104 - Phone
- (619) 543-4500
- Fax
- (619) 294-2979
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 090000059 | CA | Primary |
Addresses
Primary practice location
1940 El Cajon Blvd
San Diego, CA 92104
Mailing address
1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT40220I | Other | CA | HEALTH NET |
| ZZT30220I | Medicaid | CA | |
| 052035 | Other | CA | BLUE CROSS |
Other names 1
- d/b/a Kindred Hospital - San Diego
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100720000157 | CA | Part A Provider - Hospital | 8426967795 | Practice locations: San Diego, CA |
Hospital certification: CCN 052036
- Legal name
- THC - ORANGE COUNTY LLC
- Doing business as
- KINDRED HOSPITAL - SAN DIEGO
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jun 1, 1993
- Last certification
- May 26, 2017
- Beds
- 70
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 1, 2001 (2 total)
- Organization structure
- LLC
- Enrollment address
- 1940 El Cajon Blvd
San Diego, CA 92104-1005 - Hospital subgroups
- Long-term
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Kindred Hospital - San Diego
- Ownership
- For profit
- Certified
- Jun 1, 1993
- Medicare certification status
- Active
- Beds
- 70
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0569825 | Kindred Hospital San Diego | Accreditation | Apr 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- THC Orange County Inc
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
-
- Long Term Care Hospital
- Westminster, CA
- NPI 1528143179
-
- Long Term Care Hospital
- Brea, CA
- NPI 1780768416
-
- Long Term Care Hospital
- Santa Ana, CA
- NPI 1851476139
-
- Long Term Care Hospital
- West Covina, CA
- NPI 1942385224
-
- Long Term Care Hospital
- Ontario, CA
- NPI 1043395742
-
- General Practice Physician
- San Diego, CA
- NPI 1093947251
-
- Long Term Care Hospital
- San Leandro, CA
- NPI 1306921929
-
- General Practice Physician
- Ontario, CA
- NPI 1578795738
-
- Skilled Nursing Facility
- Brea, CA
- NPI 1629240577
-
- General Practice Physician
- Westminster, CA
- NPI 1679705826
-
- General Practice Physician
- Brea, CA
- NPI 1902038169
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Direct Ownership Interest | Sep 2, 1994 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Sep 2, 1994 | 100% |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Deanna Schiavone | Corporate Officer | Aug 22, 2022 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Dec 14, 2004 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kerry Steven Ashment | Operational/Managerial Control | Apr 26, 2017 | |
| Knight Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kentucky Hospital Holdings JV LP | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Linn Billingsley | Corporate Officer | Feb 1, 2026 |
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Long Term Care Hospital
- Baldwin Park, CA
- NPI 1689984668
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Long Term Care Hospital
- Gardena, CA
- NPI 1215247978
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Long Term Care Hospital
- Perris, CA
- NPI 1013227099
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
- Long Term Care Hospital
- Rancho Cucamonga, CA
- NPI 1205146289
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Long Term Care Hospital
- Paramount, CA
- NPI 1093275786
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Rehabilitation Hospital
- Paramount, CA
- NPI 1578159661
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Long Term Care Hospital
- La Mirada, CA
- NPI 1033294723
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
- Long Term Care Hospital
- Westminster, CA
- NPI 1528143179
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
- Long Term Care Hospital
- Brea, CA
- NPI 1780768416
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
- Long Term Care Hospital
- West Covina, CA
- NPI 1942385224
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
- Long Term Care Hospital
- Ontario, CA
- NPI 1043395742
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1578558623
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Primary Podiatric Medicine Podiatrist
- Santee, CA
- NPI 1821426388
Long-term care hospital
-
- Plastic and Reconstructive Surgery Physician
- National City, CA
- NPI 1073889465
Long-term care hospital
-
- Internal Medicine Physician
- National City, CA
- NPI 1871501205
Long-term care hospital
-
- Hospitalist Physician
- San Diego, CA
- NPI 1881632081
Long-term care hospital
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1164794673
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1992880512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041005",
"telephone_number": "619-543-4500",
"fax_number": "619-294-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92104",
"telephone_number": "619-543-4500",
"fax_number": "619-294-2979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THC - ORANGE COUNTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
"authorized_official_telephone_number": "629-253-5121"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "CA",
"license": "090000059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "ZZT40220I",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT30220I",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "052035",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "d/b/a Kindred Hospital - San Diego",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "d/b/a Kindred Hospital - San Diego",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.