# CASA PACIFICA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FREEDOM VILLAGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841354354
- **Authorized official:** CHERYL ROSKAMP (OWNER/CEO)
- **Authorized official phone:** (949) 489-0430

## Contact information

- **Practice address:** 23442 EL TORO RD, LAKE FOREST, CA 92630-6979
- **Practice address phone:** (949) 472-4700
- **Practice address fax:** (949) 855-0428
- **Mailing address:** 23442 EL TORO RD, LAKE FOREST, CA 92630-6979
- **Mailing address phone:** (949) 472-4700
- **Mailing address fax:** (949) 855-0428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 300606831 | CA | — |
| 314000000X | Skilled Nursing Facility | 060000246 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 06/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 555391 | — | CA |