Koa Holdings, LLC
NPI 1013953199 · Skilled Nursing Facility · El Cajon, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koa Holdings, LLC is a Skilled Nursing Facility organization in El Cajon, CA (NPI 1013953199).
Provider details
- NPI number
- 1013953199
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Mitchell, Secretary(385) 988-3319
- License
- 090000071 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cottonwood Canyon Healthcare Center
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Koa Holdings, LLC's NPI number?
- Koa Holdings, LLC's National Provider Identifier (NPI) is 1013953199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koa Holdings, LLC?
- Koa Holdings, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Koa Holdings, LLC located?
- Koa Holdings, LLC's practice location on file with NPPES is 1391 E Madison Ave, El Cajon, CA 92021-8568.
- What is Koa Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Koa Holdings, LLC is (619) 444-1107.
- Does Koa Holdings, LLC accept Medicare?
- Koa Holdings, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Koa Holdings, LLC?
- The authorized official listed on Koa Holdings, LLC's NPPES record is John Mitchell, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koa Holdings, LLC's NPI active?
- Yes — Koa Holdings, LLC's NPI (1013953199) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.