Organization Active NPI

Imaginative Horizons Inc

  • Skilled Nursing Facility
  • National City, CA
National Provider Identifier
1255480646
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
IMAGINATIVE HORIZONS INC
Practice address
1889 National City Blvd
National City, CA 91950-0000
Phone
(619) 477-1176
Fax
(619) 477-9933
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Gary Byrnes
Title
Administrator
Phone
(619) 477-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

1889 National City Blvd
National City, CA 91950-0000

Mailing address

1889 National City Blvd
National City, CA 91950-0000

Other identifiers 1

IdentifierTypeStateIssuer
ZZT05975GMedicaidCA

Other names 1

  • Hillcrest Manor Sanitarium Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000562 CA Part A Provider - Skilled Nursing Facility 1850463951 Practice locations: National City, CA

Skilled nursing facility certification: CCN 055975

Legal name
IMAGINATIVE HORIZONS INC
Doing business as
HILLCREST MANOR SANITARIUM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 17, 1968
Last certification
Nov 21, 2024
Beds
98
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 16, 1971 in CA
Enrollment address
1889 National City Blvd
National City, CA 91950-5517
Nursing home name
HILLCREST MANOR SANITARIUM

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hillcrest Manor SanitariumCCN 055975
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 17, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9856.4 residents per day on average

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
05D0872419Hillcrest Manor Sanitarium1889 National City Boulevard, National City, CA 91950Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

1889 National City Blvd
National City, CA 91950
Phone (619) 477-1176

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Maria Carmina Estacio Individual W-2 Managing EmployeeAssistant Administrator May 7, 2008

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1255480646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 NATIONAL CITY BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919500000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 NATIONAL CITY BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919500000",
            "telephone_number": "619-477-1176",
            "fax_number": "619-477-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATIVE HORIZONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-477-1176"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05975G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Manor Sanitarium",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.