Active NPI
KF Casitas LLC
- Skilled Nursing Facility
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1979
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Cambridge Healthcare Services
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| 10626 Balboa LLC | Adp of the SNF | Jan 25, 2007 | |
| Lance a Hassell | Operational/Managerial Control | Apr 25, 2022 | |
| Adp of the SNF | Apr 25, 2022 | ||
| Cambridge Healthcare Services LLC | Operational/Managerial Control | Jul 1, 2010 | |
| Adp of the SNF | Apr 23, 2026 | ||
| Ira Smedra | Corporate Officer | Jan 22, 2010 | 50% |
| Operational/Managerial Control | Jan 22, 2010 | ||
| Adp of the SNF | Jan 22, 2010 | ||
| Indirect Ownership Interest | Jan 22, 2010 | 2.75% | |
| KSNF LLC | 5% Or Greater Indirect Ownership Interest | Jan 22, 2010 | 80% |
| Amanda Moore | Operational/Managerial Control | May 8, 2023 | |
| Managing Control - Governing Body | May 8, 2023 | ||
| Adp of the SNF | May 8, 2023 | ||
| Jacob Wintner | Corporate Officer | Jan 22, 2010 | 50% |
| Operational/Managerial Control | Jan 22, 2010 | ||
| Jacob Wintner | Adp of the SNF | Jan 22, 2010 | |
| Sana Omari | Operational/Managerial Control | Feb 16, 2016 | |
| Paulina Salazar | Operational/Managerial Control | Dec 14, 2020 | |
| Adp of the SNF | Dec 14, 2020 | ||
| Julie Butenko | Operational/Managerial Control | Jul 24, 2023 | |
| Adp of the SNF | Jul 24, 2023 | ||
| KSNF II LLC | 5% Or Greater Indirect Ownership Interest | Jan 20, 2017 | 20% |
| Siamak P Etehad | Operational/Managerial Control | Sep 28, 2011 | |
| Adp of the SNF | Sep 28, 2011 | ||
| Rosa Valdivia | Operational/Managerial Control | Jul 18, 2019 | |
| Managing Control - Governing Body | Jul 18, 2019 | ||
| Adp of the SNF | Apr 23, 2026 | ||
| Kirkside Facilities Operations LLC | 5% Or Greater Direct Ownership Interest | Jan 22, 2010 | 100% |
| Heidi Capela | 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.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1184728479
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 28
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mountain View Convalescent Hospital
- Skilled Nursing Facility
- Sylmar, CA
- NPI 1184619827
Cambridge Healthcare Services LLC
-
dba Valley Palms Care Center
- Skilled Nursing Facility
- North Hollywood, CA
- NPI 1801881479
Cambridge Healthcare Services LLC
-
dba Briarcrest Nursing Center
- Skilled Nursing Facility
- Bell Gardens, CA
- NPI 1548255284
Cambridge Healthcare Services LLC
-
dba Huntington Drive Health & Rehabilitation Center
- Skilled Nursing Facility
- Arcadia, CA
- NPI 1649264292
Cambridge Healthcare Services LLC
-
dba Country Manor La Mesa Healthcare Center
- Skilled Nursing Facility
- La Mesa, CA
- NPI 1457345001
Cambridge Healthcare Services LLC
-
dba Laguna Hills Health & Rehabilitation Center
- Skilled Nursing Facility
- Laguna Hills, CA
- NPI 1720072374
Cambridge Healthcare Services LLC
-
dba Lynwood Healthcare Center
- Skilled Nursing Facility
- Lynwood, CA
- NPI 1144214628
Cambridge Healthcare Services LLC
-
dba Monrovia Gardens Healthcare Center
- Skilled Nursing Facility
- Monrovia, CA
- NPI 1043204522
Cambridge Healthcare Services LLC
-
dba Murrieta Health & Rehabilitation Center
- Skilled Nursing Facility
- Murrieta, CA
- NPI 1174517650
Cambridge Healthcare Services LLC
-
dba Rancho Mirage Health & Rehabilitation Center
- Skilled Nursing Facility
- Rancho Mirage, CA
- NPI 1164416657
Cambridge Healthcare Services LLC
-
dba Highland Care Center of Redlands
- Skilled Nursing Facility
- Redlands, CA
- NPI 1790779288
Cambridge Healthcare Services LLC
-
dba Broadway Healthcare Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1477547024
Cambridge Healthcare Services LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.