Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Koa Holdings, LLC

Organization Skilled Nursing Facility · NPI 1013953199

Koa Holdings, LLC is a Skilled Nursing Facility in El Cajon, California. Medicare rates this nursing home 3 out of 5. Licensed in California.

CMS rating
3 of 5
Licensed in
CA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 055064)
Health inspection2.0 / 5
Staffing2.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

1391 E Madison Ave
El Cajon, CA 92021-8568
Phone: (619) 444-1107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 090000071 (CA)

Record details

NPI number1013953199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mitchell — Secretary · (385) 988-3319
Other names Cottonwood Canyon Healthcare Center
NPI enumeratedJune 20, 2006
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address262 N University Ave, Farmington, UT 84025-2975

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