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POWAY HEALTHCARE CENTER
NPI 1407035512
Skilled Nursing Facility in Poway, CA

Active since October 25, 2007CLIA 05D1101084 · Waiver
4/5
Overall Rating
15632 POMERADO RD, POWAY, CA 92064(858) 485-5153(858) 485-7694 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Aug 12, 2024, May 12, 2023 (3 updates tracked since 2023).

About Poway Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POWAY HEALTHCARE CENTER (NPI 1407035512) is a healthcare organization registered as a skilled nursing facility in Poway, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1407035512
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePOPLAR HOLDINGS, LLC
Location Address15632 POMERADO RDPoway, CA 92064-2406
Mailing Address262 N University AveFarmington, UT 84025-2975
Phone(858) 485-5153
Fax(858) 485-7694
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateOctober 25, 2007
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1407035512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
15632 POMERADO RD, Poway, CA 92064
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Other Names 1

Doing Business AsPoway Healthcare Center

Other Identifiers 2

Medicaid1407035512CA
MedicaidLTC55136ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1101084

Poway Healthcare Center · Poway, CA
Active · expires Feb 11, 2028
CLIA Number05D1101084
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorMohinderpal Thaper
Laboratory Phone(858) 485-5153
Laboratory LocationPoway Healthcare Center15632 Pomerado Rd, Poway, CA 92064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Poway Healthcare Center (CMS certification number 555136), from CMS Care Compare.

Poway Healthcare Center

Nursing home · Poway, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555136
Certified Beds99 beds94 residents per day on average
Medicare & Medicaid Participant SinceAugust 14, 1981
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
65.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.14 · LPN 1.1 · RN 0.47
3.71 hrs per resident per day
Weekend Nurse Staffing
3.57 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
57.4%
Registered Nurse Turnover
58.3%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
8
Substantiated Complaints
14
Infection-Control Citations
0
Fines
1 totaling $15,000.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARIA IOANNIS GIANNOPOULOS COTA/L, B.S
Occupational Therapy Assistant
15632 POMERADO RD
POWAY, CA 92064
San Diego County (858) 485-5153
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP
Internal Medicine
15632 POMERADO RD
POWAY, CA 92064
San Diego County (858) 485-7694
MANORCARE HEALTH SERVICES LLC
Skilled Nursing Facility
15632 POMERADO RD
POWAY, CA 92064
San Diego County (858) 485-5153
MACKENZIE POTTS
Occupational Therapy Assistant
15632 POMERADO RD
POWAY, CA 92064
San Diego County (858) 485-5153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poplar Holdings, LLC's NPI number?

The NPI number for Poplar Holdings, LLC is 1407035512. It was assigned to this organization in the NPPES registry on October 25, 2007. The provider is doing business as Poway Healthcare Center.

Where is Poplar Holdings, LLC located?

Poplar Holdings, LLC is located at 15632 Pomerado Rd, Poway, CA 92064. The listed phone number is (858) 485-5153.

What is Poplar Holdings, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Poplar Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1101084) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Poplar Holdings, LLC a Medicare-certified nursing home?

Yes. Poway Healthcare Center is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Poplar Holdings, LLC have?

CMS rates Poway Healthcare Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Poplar Holdings, LLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.