Cardiff Beach, LLC
Organization Active NPI Skilled Nursing Facility · Port Angeles, WA
NPI 1013718170 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1013718170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CARDIFF BEACH, LLC
- Practice address
- 1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640 - Phone
- (360) 452-9206
- NPI assigned
- Mar 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Ryan Williams
- Title
- Manager
- Phone
- (916) 945-1248
Facilities with the same owner 17
Practitioners 2
-
Layhong Soth, MD
Affiliated clinicians 2
-
Joseph C Denor, MD
Medicare Care Compare: Nursing home
- Listed as
- Olympic View Post Acute
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 18, 1968
- Medicare certification status
- Active
- Certified beds
- 101 · 91.0 residents per day on average
- Chain
- Kalesta Healthcare Group
- Penalties (3 years)
- 4 · fines totaling $144,479
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0635232 | Olympic View Post Acute | Certificate of waiver | Apr 4, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Skilled nursing facility certification: CCN 505185
- Legal name
- CARDIFF BEACH, LLC
- Doing business as
- OLYMPIC VIEW POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 18, 1968
- Last certification
- May 13, 2025
- Beds
- 101
- Ownership / control type
- Corporation
- Multi-facility organization
- Caldera Care
- Most recent change of ownership
- Dec 1, 2017
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640 - Nursing home name
- OLYMPIC VIEW POST ACUTE
- Affiliated entity
- KALESTA HEALTHCARE GROUP
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Scott Clawson |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 44.05% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Carol Ann I Andrews |
Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 | ||
| Micah Porter |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 7% |
| Scott Clawson |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 44.05% |
| Ryan Williams |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 44.05% |
| Operational/Managerial Control | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Kalesta Healthcare Group, LLC |
5% Or Greater Direct Ownership Interest | Jun 1, 2025 | 100% |
| Rafia Altaf |
Operational/Managerial Control | Jun 1, 2025 | |
| Adp of the SNF | Jun 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250602001974 | WA | Part a Provider - Skilled Nursing Facility | 0345759353 | Practice locations: Port Angeles, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Mailing address
599 Menlo Dr Ste 200
Rocklin, CA 95765-3725
Phone (916) 299-7030
Other names
- Olympic View Post Acute
Other providers in Port Angeles, WA
- Cammacks Pharmacies Inc
- Cammacks Pharmacies Inc
- Leslie Ann Campbell
- Richard Ney Canaan
- Canoga Medical Supply, Inc
- Caregivers Home Health
- Caregivers Home Health, Inc
- Carlile Birch Noble Cramer PLLC
- Carol J Oas MN Arnp Inc
- Hannah Louise Carroll
All providers in Port Angeles, WA · Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.