Koa Holdings, LLC
Koa Holdings, LLC is a healthcare organization registered as Skilled Nursing Facility in El Cajon, CA, holding Type 2 (organization) NPI 1013953199 since 2006. The authorized official on file is John Mitchell, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013953199 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Koa Holdings, LLC |
| Other name | <Unavail> |
| Practice address | 1391 E MADISON AVE, El Cajon, CA, 92021 |
| Phone | 6194441107 |
| Enumeration date | 2006-06-20 |
| Last updated in NPPES | 2024-08-20 |
Authorized official
| Name | John Mitchell |
|---|---|
| Title | Secretary |
| Phone | 3859883319 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 090000071 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT05064I | Medicaid | CA | — |
Copy-ready billing details
Provider: Koa Holdings, LLC NPI: 1013953199 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1391 E MADISON AVE, El Cajon, CA, 92021
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1033190400 | Madison Care Center, LLC | Organization | Skilled Nursing Facility | El Cajon, CA |
| 1881391480 | Tamara Mcmillan | Individual | Nurse Practitioner | El Cajon, CA |
Verify this record
Cross-check NPI 1013953199 against the authoritative CMS record: view Koa Holdings, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Koa Holdings, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-20.