NPIMap

Organization Active NPI

Avpa LLC

  • Skilled Nursing Facility
  • Redlands, CA
National Provider Identifier
1346965399
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AVPA LLC
Practice address
1875 Barton Rd
Redlands, CA 92373-5308
Phone
(909) 793-1382
Fax
(909) 308-1101
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Caroline Tapang Ditullio
Title
Co-Manager
Phone
(626) 523-8956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1875 Barton Rd
Redlands, CA 92373-5308

Mailing address

4016 Grand Ave Ste a-1062
Chino, CA 91710-5491
Phone (626) 523-8956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809002566 CA Part A Provider - Skilled Nursing Facility 5193263010 Practice locations: Redlands, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346965399. Details of each certification follow.

Skilled nursing facility certification: CCN 555379

Legal name
AVPA, LLC
Doing business as
ASISTENCIA VILLA HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 4, 1989
Last certification
Oct 17, 2024
Beds
99
Ownership / control type
Corporation
Organization structure
LLCNon-profit
Enrollment address
1875 Barton Rd
Redlands, CA 92373-5308
Nursing home name
ASISTENCIA VILLA HEALTHCARE CENTER
Affiliated entity
CRYSTAL SOLORZANO

Care Compare: Nursing home

Medicare Care Compare
Listed as
Asistencia Villa Healthcare CenterCCN 555379 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 4, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9992.5 residents per day on average
Chain
Crystal Solorzano9 facilities in the chain

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
05D0574041Asistencia Villa Healthcare Center1875 Barton Road, Redlands, CA 92373Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4016 Grand Ave
Ste A1062
Chino, CA 91710

1875 Barton Rd
Redlands, CA 92373
Phone (909) 783-1382

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Caroline T Ditullio Individual 5% Or Greater Direct Ownership Interest May 22, 2024 40%
Operational/Managerial Control May 22, 2024
Managing Control - Governing BodyCo-Manager May 22, 2024
Solea Franklin Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025
Jean Claude Hage Individual Operational/Managerial Control Nov 1, 2018
Adp of the SNF Nov 1, 2018
Renew Health Consulting Services LLC Organization, Monrovia, CA LLC, Management services company, For-profit Operational/Managerial Control Jan 13, 2023
Adp of the SNF Jan 13, 2023
Monette Dizon Individual 5% Or Greater Direct Ownership Interest May 22, 2024 20%
Avpa, LLC Organization, Chino, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 13, 2023 100%
Avpa 1875 LLC Organization, Chino, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 22, 2024 20%
Operational/Managerial Control May 22, 2024
Paola Dionisio Individual 5% Or Greater Indirect Ownership Interest May 22, 2024 20%
Operational/Managerial Control May 22, 2024
Managing Control - Governing BodyCo-Manager May 22, 2024
Mark Hansen Individual Operational/Managerial Control Dec 26, 2024
Adp of the SNF Dec 26, 2024
Vatsala Sharma Individual Operational/Managerial Control Jan 13, 2023
Adp of the SNF Jan 13, 2023
Gateways Rehabilitation Center II LLC Organization, Simi Valley, CA LLC, For-profit Adp of the SNF Jan 13, 2023
Yolanda Gasmen Individual 5% Or Greater Direct Ownership Interest May 22, 2024 20%

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 13

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

View all 13

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1346965399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GRAND AVE STE A-1062",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105491",
            "telephone_number": "626-523-8956",
            "fax_number": "626-657-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735308",
            "telephone_number": "909-793-1382",
            "fax_number": "909-308-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "DITULLIO",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "TAPANG",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "626-523-8956"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.