Active NPI
Santa Paula Post Acute LLC
Doing business as Santa Paula Post Acute
- Skilled Nursing Facility
- Santa Paula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SANTA PAULA POST ACUTE LLC
- Doing business as
- Santa Paula Post Acute
- Practice address
- 250 March St
Santa Paula, CA 93060-2512 - Phone
- (805) 525-7134
- NPI assigned
- Jan 10, 2018
- 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
- Dov Jacobs
- Title
- Manager
- Phone
- (323) 678-4426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
250 March St
Santa Paula, CA 93060-2512
Mailing address
11620 W Washington Blvd
Los Angeles, CA 90066-5916
Phone (323) 678-4426
Other names 1
- Santa Paula Post Acute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180724004098 | CA | Part A Provider - Skilled Nursing Facility | 5597012336 | Practice locations: Santa Paula, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275040362. Details of each certification follow.
Skilled nursing facility certification: CCN 055957
- Legal name
- SANTA PAULA POST ACUTE LLC
- Doing business as
- SANTA PAULA POST ACUTE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1973
- Last certification
- Apr 17, 2025
- Beds
- 99
- Ownership / control type
- Individual
- Organization structure
- LLC
- Enrollment address
- 250 March St
Santa Paula, CA 93060-2512 - Nursing home name
- SANTA PAULA POST ACUTE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Santa Paula Post Acute Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 1, 1973
- Medicare certification status
- Active
- Certified beds
- 99
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Dov E Jacobs | 5% Or Greater Indirect Ownership Interest | Aug 30, 2016 | 100% |
| Corporate Officer | Aug 30, 2016 | ||
| Operational/Managerial Control | Aug 30, 2016 | ||
| Lbcsp Skilled, LLC | 5% Or Greater Indirect Ownership Interest | Feb 1, 2018 | 100% |
| Santa Paula LTC LLC | 5% Or Greater Direct Ownership Interest | Aug 30, 2016 | 100% |
| Operational/Managerial Control | Aug 30, 2016 |
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1740724350
Lbcsp Skilled, 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": "1515542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515542400000",
"number": "1275040362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11620 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665916",
"telephone_number": "323-678-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MARCH ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930602512",
"telephone_number": "805-525-7134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA PAULA POST ACUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-678-4426"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Santa Paula Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.