Active NPI
Mission Park Health Center LLC
- Skilled Nursing Facility
- Santa Barbara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MISSION PARK HEALTH CENTER LLC
- Practice address
- 623 W Junipero St
Santa Barbara, CA 93105-4213 - Phone
- (805) 682-7443
- NPI assigned
- Oct 6, 2021
- Last updated
- Oct 6, 2021
- 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
- Aaron Mayer
- Title
- Authorized Representative
- Phone
- (925) 228-6003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
623 W Junipero St
Santa Barbara, CA 93105-4213
Mailing address
623 W Junipero St
Santa Barbara, CA 93105-4213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220907002800 | CA | Part A Provider - Skilled Nursing Facility | 2264816438 | Practice locations: Santa Barbara, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144982281. Details of each certification follow.
Skilled nursing facility certification: CCN 055991
- Legal name
- MISSION PARK HEALTH CENTER, LLC
- Doing business as
- MISSION PARK HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 1, 1969
- Last certification
- Dec 11, 2024
- Beds
- 138
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- PACIFICARE HEALTH MANAGEMENT
- Organization structure
- LLC
- Enrollment address
- 623 W Junipero St
Santa Barbara, CA 93105-4213 - Nursing home name
- MISSION PARK HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mission Park Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1969
- Medicare certification status
- Active
- Certified beds
- 138
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0709361 | Mission Park Healthcare Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
4550 Wilshire Blvd
Ste 206
Los Angeles, CA 90010
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Mayer PP Associates, LLC | Adp of the SNF | Aug 9, 2021 | |
| Ronald J Mayer | Adp of the SNF | Aug 9, 2021 | |
| James Alexander Murdoch | Operational/Managerial Control | Mar 2, 2023 | |
| Adp of the SNF | Mar 2, 2023 | ||
| Scott Keawekane | Operational/Managerial Control | Jul 11, 2022 | 100% |
| Quinn Larson | Operational/Managerial Control | Nov 11, 2024 | |
| Adp of the SNF | Nov 11, 2024 | ||
| Ahm Trust | 5% Or Greater Direct Ownership Interest | Aug 9, 2021 | 99.9% |
| Operational/Managerial Control | Aug 9, 2021 | ||
| 623 W. Junipero, LLC | Adp of the SNF | Aug 9, 2021 | |
| The Compliance Institute LLC | Operational/Managerial Control | Jul 3, 2023 | |
| Adp of the SNF | Jul 3, 2023 | ||
| Aaron Mayer | 5% Or Greater Indirect Ownership Interest | Aug 9, 2021 | 99.9% |
| Operational/Managerial Control | Aug 9, 2021 | ||
| Adp of the SNF | Aug 9, 2021 | ||
| Direct Ownership Interest | Aug 9, 2021 | 0.1% | |
| Pacificare Health Management LLC | Adp of the SNF | Aug 9, 2021 | |
| Helene G Mayer | Adp of the SNF | Aug 9, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Goleta, CA
- NPI 1659938314
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Alvarado Care Center
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1831724509
The Compliance Institute LLC
-
dba Colonial Gardens Nursing Center
- Skilled Nursing Facility
- Pico Rivera, CA
- NPI 1114777984
Ahm Trust
-
- Skilled Nursing Facility
- El Monte, CA
- NPI 1962195511
Ahm Trust, The Compliance Institute LLC
-
- Skilled Nursing Facility
- Walnut Creek, CA
- NPI 1215602297
Ahm Trust, The Compliance Institute LLC
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Goleta, CA
- NPI 1659938314
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Santa Barbara, CA
- NPI 1801809660
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1144982281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 W JUNIPERO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 W JUNIPERO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054213",
"telephone_number": "805-682-7443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION PARK HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-06",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "925-228-6003"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.