Organization Active NPI

Shaca HC LLC

  • Skilled Nursing Facility
  • Weed, CA
National Provider Identifier
1003633967
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SHACA HC LLC
Practice address
445 Park St
Weed, CA 96094-2332
Phone
(530) 938-4429
NPI assigned
Sep 23, 2024
Organization subpart
Yes
Parent organization
ROCKWELL HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Evangeline R Powell, RN
Title
Ceo
Phone
(909) 904-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

445 Park St
Weed, CA 96094-2332

Mailing address

3281 E Guasti Rd Ste 250
Ontario, CA 91761-7642
Phone (909) 457-2977

Other names 1

  • Shasta Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

3281 E Guasti Rd
Ste 250
Ontario, CA 91761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1003633967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 E GUASTI RD STE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617642",
            "telephone_number": "909-457-2977",
            "fax_number": "323-900-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PARK ST",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960942332",
            "telephone_number": "530-938-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACA HC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKWELL HEALTHCARE LLC",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-904-9048",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weed, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.