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.
Organization
CASA PACIFICA NURSING CENTER, LLC
Active
Organization
CASA PACIFICA NURSING CENTER, LLC
Active
Other names
HARBOR VILLA CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
861 SOUTH HARBOR BOULEVARD, ANAHEIM, CA 92805
(714) 635-8131
(714) 635-8960
Mailing address
861 SOUTH HARBOR BOULEVARD, ANAHEIM, CA 92805
(714) 635-8131
(714) 635-8960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060000096
CA
314000000X
Skilled Nursing Facility
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT05742G
—
CA
Enumeration date
09/19/2005
Last updated
06/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers