NPIMap

Organization Active NPI

Cardiff Beach, LLC

Doing business as Olympic View Post Acute

  • Skilled Nursing Facility
  • Port Angeles, WA
National Provider Identifier
1013718170
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARDIFF BEACH, LLC
Doing business as
Olympic View Post Acute
Practice address
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Phone
(360) 452-9206
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Ryan Williams
Title
Manager
Phone
(916) 945-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

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 1

  • Olympic View Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602001974 WA Part A Provider - Skilled Nursing Facility 0345759353 Practice locations: Port Angeles, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013718170. Details of each certification follow.

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
LLCProprietary
Enrollment address
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Nursing home name
OLYMPIC VIEW POST ACUTE
Affiliated entity
KALESTA HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Olympic View Post AcuteCCN 505185 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
10191.0 residents per day on average
Chain
Kalesta Healthcare Group19 facilities in the chain
Penalties (3 years)
4Fines totaling $144,479

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0635232Olympic View Post Acute1116 E Lauridsen Blvd, Port Angeles, WA 98362Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

599 Menlo Dr
Ste 200
Rocklin, CA 95765
Phone (619) 203-8616

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott Clawson Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 44.05%
Operational/Managerial Control Jun 1, 2025
Carol Ann I Andrews Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025
Micah Porter Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 7%
Scott Clawson Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2025 44.05%
Ryan Williams Individual 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 Organization, Rocklin, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2025 100%
Rafia Altaf Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF Jun 1, 2025

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1013718170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725",
            "telephone_number": "916-299-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626640",
            "telephone_number": "360-452-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIFF BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-945-1248"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic View Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.