# GHC OF LOMPOC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lompoc Skilled Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396081212
- **Authorized official:** THOMAS OLDS JR. (PRESIDENT/OWNER)
- **Authorized official phone:** (714) 241-5600

## Contact information

- **Practice address:** 1428 W NORTH AVE, LOMPOC, CA 93436-3961
- **Practice address phone:** (805) 735-4010
- **Mailing address:** 1428 W NORTH AVE, LOMPOC, CA 93436-3961
- **Mailing address phone:** (805) 735-4010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000587 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2012
- **Last updated:** 08/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC9008F | — | CA |