NPIMap

Organization Active NPI

La Veta Healthcare, Inc.

Doing business as Mainplace Post Acute

  • Skilled Nursing Facility
  • Orange, CA
National Provider Identifier
1447714373
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LA VETA HEALTHCARE, INC.
Doing business as
Mainplace Post Acute
Practice address
1835 W la Veta Ave
Orange, CA 92868-4132
Phone
(714) 978-6800
Fax
(714) 978-0160
NPI assigned
Jan 24, 2019
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Soon Burnam
Title
Authorized Official
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1835 W la Veta Ave
Orange, CA 92868-4132

Mailing address

1835 W la Veta Ave
Orange, CA 92868-4132
Phone (714) 978-6800

Other names 1

  • Mainplace Post Acute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190606001257 CA Part A Provider - Skilled Nursing Facility 0244563252 Practice locations: Orange, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447714373. Details of each certification follow.

Skilled nursing facility certification: CCN 555259

Legal name
LA VETA HEALTHCARE, INC.
Doing business as
MAINPLACE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 4, 1987
Last certification
Oct 24, 2024
Beds
169
Ownership / control type
Corporation
Multi-facility organization
FLAGSTONE SOUTH
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2019 in NV
Enrollment address
1835 W la Veta Ave
Orange, CA 92868-4132
Nursing home name
MAINPLACE POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mainplace Post AcuteCCN 555259 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 4, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
169152.0 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
1Fines totaling $16,988

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
The Ensign Group Inc Organization, Mission Viejo, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 15, 2019 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jan 15, 2019
Adam Willits Individual Corporate DirectorDirector la Veta Healthcare, Inc. Jan 15, 2019
Ami Sato Individual Corporate OfficerTreasurer la Veta Healthcare, Inc. Sep 9, 2024
Flagstone Healthcare South LLC Organization, Mission Viejo, CA LLC 5% Or Greater Direct Ownership Interest Jan 15, 2019 100%
Marc Ruggles Individual Operational/Managerial ControlAdministrator May 1, 2019
Managing Control - Governing BodyAdministrator May 1, 2019
Adp of the SNF May 1, 2019
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Reza Talebi Dolouei Individual Operational/Managerial Control Mar 1, 2022
Managing Control - Governing BodyMedical Director Mar 1, 2022
Adp of the SNF Mar 1, 2022
William Rand Looper Individual Corporate OfficerPresident la Veta Healthcare, Inc. Feb 1, 2023
Soon Burnam Individual Corporate OfficerSecretary la Veta Healthcare, Inc. Jan 15, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Reza Talebi Dolouei, M.D.
    • Geriatric Medicine (Family Medicine) Physician
    • Anaheim, CA
    • NPI 1639431836

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1447714373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684132",
            "telephone_number": "714-978-6800",
            "fax_number": "714-978-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684132",
            "telephone_number": "714-978-6800",
            "fax_number": "714-978-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VETA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mainplace Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mainplace Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.