BROOKDALE CARMEL VALLEY
NPI 1972918456
Skilled Nursing Facility in San Diego, CA

Active since June 24, 2014CLIA 05D0958867 · Waiver
13101 HARTFIELD AVE, SAN DIEGO, CA 92130(858) 259-2222 Get Directions Write a Review

NPPES record last updated: March 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookdale Carmel Valley NPPES

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

BROOKDALE CARMEL VALLEY (NPI 1972918456) is a healthcare organization registered as a skilled nursing facility in San Diego, California and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Mark W. Ohlendorf, Assistant Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1972918456
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameS-H OPCO CARMEL VALLEY, LLC
Location Address13101 HARTFIELD AVESan Diego, CA 92130-1511
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartNo
Authorized OfficialMark W. OhlendorfAssistant Corporate Secretary · (414) 918-5000
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 8, 2015
NPI 1972918456 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.
13101 HARTFIELD AVE, San Diego, CA 92130

Other Names 1

Doing Business AsBrookdale Carmel Valley

Other Identifiers 1

Medicare OSCAR/certification555746

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 05D0958867

Brookdale Carmel Valley · San Diego, CA
Active · expires Mar 28, 2027
CLIA Number05D0958867
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorTaib A. Rawi
Laboratory Phone(858) 259-2222
Laboratory LocationBrookdale Carmel Valley13101 Hartfield Ave, San Diego, CA 92130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Assisted Living Facility
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Speech-Language Pathologist
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Physical Therapist
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Physical Therapist
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Occupational Therapy Assistant
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Physical Therapy Assistant
13101 HARTFIELD AVE
SAN DIEGO, CA 92130
Occupational Therapy Assistant
13101 HARTFIELD AVE
SAN DIEGO, CA 92130

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 S-H Opco Carmel Valley, LLC's NPI number?

The NPI number for S-H Opco Carmel Valley, LLC is 1972918456. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is doing business as Brookdale Carmel Valley.

Where is S-H Opco Carmel Valley, LLC located?

S-H Opco Carmel Valley, LLC is located at 13101 Hartfield Ave, San Diego, CA 92130. The listed phone number is (858) 259-2222.

What is S-H Opco Carmel Valley, LLC's specialty?

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

Does S-H Opco Carmel Valley, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0958867) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for S-H Opco Carmel Valley, LLC was last updated on March 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.