Organization Active NPI

KF Casitas LLC

  • Skilled Nursing Facility
  • Granada Hills, CA
National Provider Identifier
1053637330
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KF CASITAS LLC
Practice address
10626 Balboa Blvd
Granada Hills, CA 91344-6329
Phone
(818) 368-2802
NPI assigned
Apr 12, 2010
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Douglas Easton
Title
Owner
Phone
(702) 308-7191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10626 Balboa Blvd
Granada Hills, CA 91344-6329

Mailing address

10626 Balboa Blvd
Granada Hills, CA 91344-6329
Phone (818) 368-2802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100809000437 CA Part A Provider - Skilled Nursing Facility 0244363471 Practice locations: Granada Hills, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053637330. Details of each certification follow.

Skilled nursing facility certification: CCN 056148

Legal name
KF CASITAS LLC
Doing business as
CASITAS CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1979
Last certification
Mar 9, 2025
Beds
99
Ownership / control type
Corporation
Multi-facility organization
Cambridge Health Care
Organization structure
LLCProprietary
Incorporated
Jan 22, 2010 in CA
Enrollment address
10626 Balboa Blvd
Granada Hills, CA 91344-6329
Nursing home name
CASITAS CARE CENTER
Affiliated entity
CAMBRIDGE HEALTHCARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Casitas Care CenterCCN 056148 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9992.2 residents per day on average
Chain
Cambridge Healthcare Services32 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
10626 Balboa LLC Organization, Queen Creek, AZ LLC Adp of the SNF Jan 25, 2007
Lance a Hassell Individual Operational/Managerial Control Apr 25, 2022
Adp of the SNF Apr 25, 2022
Cambridge Healthcare Services LLC Organization, Buena Park, CA LLC, Management services company, Chain home office Operational/Managerial Control Jul 1, 2010
Adp of the SNF Apr 23, 2026
Ira Smedra Individual Corporate OfficerManager Jan 22, 2010 50%
Operational/Managerial ControlManager Jan 22, 2010
Adp of the SNF Jan 22, 2010
Indirect Ownership Interest Jan 22, 2010 2.75%
KSNF LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 22, 2010 80%
Amanda Moore Individual Operational/Managerial Control May 8, 2023
Managing Control - Governing BodyRegional Director of Operations May 8, 2023
Adp of the SNF May 8, 2023
Jacob Wintner Individual Corporate OfficerManager Jan 22, 2010 50%
Operational/Managerial ControlManager Jan 22, 2010
Jacob Wintner Individual Adp of the SNF Jan 22, 2010
Sana Omari Individual Operational/Managerial Control Feb 16, 2016
Paulina Salazar Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Julie Butenko Individual Operational/Managerial Control Jul 24, 2023
Adp of the SNF Jul 24, 2023
KSNF II LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 20, 2017 20%
Siamak P Etehad Individual Operational/Managerial Control Sep 28, 2011
Adp of the SNF Sep 28, 2011
Rosa Valdivia Individual Operational/Managerial Control Jul 18, 2019
Managing Control - Governing BodyAdministrator Jul 18, 2019
Adp of the SNF Apr 23, 2026
Kirkside Facilities Operations LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 22, 2010 100%
Heidi Capela Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Apr 3, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 28

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

View all 28

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1053637330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-368-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-368-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KF CASITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-308-7191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.