# COSTA MESA HEALTHCARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEWPORT SUBACUTE HEALTHCARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396824215
- **Authorized official:** ELIZABETH P AUSTRIA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (323) 333-0509

## Contact information

- **Practice address:** 2570 NEWPORT BLVD, COSTA MESA, CA 92627-1331
- **Practice address phone:** (949) 631-4282
- **Practice address fax:** (949) 631-8681
- **Mailing address:** 2570 NEWPORT BLVD, COSTA MESA, CA 92627-1331
- **Mailing address phone:** (949) 631-4282
- **Mailing address fax:** (949) 631-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 555751 | CA | — |
| 314000000X | Skilled Nursing Facility | LTC55751G | CA | — |
| 314000000X | Skilled Nursing Facility | LTC70146G | CA | — |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 10/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55751G | — | CA |
| 05 | — | LTC70146G | — | CA |