Active NPI
Coastal LLC
Doing business as Vineyard Hills Health Center
- Skilled Nursing Facility
- Templeton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050000125
- Legal business name
- COASTAL LLC
- Doing business as
- Vineyard Hills Health Center
- Practice address
- 290 Heather CT
Templeton, CA 93465-9738 - Phone
- (805) 434-3035
- Fax
- (805) 434-3065
- NPI assigned
- Oct 10, 2005
- Last updated
- May 28, 2010
- 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
- Ms. Marie Moya
- Title
- Controller
- Phone
- (805) 474-7010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050000125 | CA | Primary |
Addresses
Primary practice location
290 Heather CT
Templeton, CA 93465-9738
Mailing address
290 Heather CT
Templeton, CA 93465-9738
Phone (805) 434-3035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55220G | Medicaid | CA |
Other names 1
- Vineyard Hills Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120312000424 | CA | Part A Provider - Skilled Nursing Facility | 8527157874 | Practice locations: Templeton, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629066071. Details of each certification follow.
Skilled nursing facility certification: CCN 555220
- Legal name
- COASTAL LLC
- Doing business as
- VINEYARD HILLS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 28, 1986
- Last certification
- Jun 6, 2024
- Beds
- 99
- Ownership / control type
- Corporation
- Multi-facility organization
- Compass Health, Inc.
- Organization structure
- LLC
- Enrollment address
- 290 Heather CT
Templeton, CA 93465-9738 - Nursing home name
- VINEYARD HILLS HEALTH CENTER
- Affiliated entity
- COMPASS HEALTH, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Vineyard Hills Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 28, 1986
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Compass Health, Inc.
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 |
|---|---|---|---|
| 05D0643520 | Vineyard Hills Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Danish Care Center
- Skilled Nursing Facility
- Atascadero, CA
- NPI 1063688984
Member Of
-
dba Danish Care Center
- Skilled Nursing Facility
- Atascadero, CA
- NPI 1902894355
Member Of
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Timothy L Hodge | Corporate Officer | Jan 1, 2011 | 33.33% |
| Operational/Managerial Control | Jan 1, 2011 | 5% | |
| Compass Health Inc | 5% Or Greater Direct Ownership Interest | Mar 1, 1996 | 100% |
| Marie Moya | Corporate Officer | Jan 1, 2011 | 33.33% |
| Operational/Managerial Control | Jan 1, 2011 | 5% | |
| Dean Gosselin | W-2 Managing Employee | Nov 1, 2019 | 100% |
| Darren Smith | Corporate Officer | Jan 1, 2011 | 33.33% |
| Corporate Director | Jan 1, 2011 | 33.33% | |
| Coastal LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 1996 | 100% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Danish Care Center | Skilled nursing facility | Adp of the SNF | Aug 25, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Danish Care Center
- Skilled Nursing Facility
- Atascadero, CA
- NPI 1063688984
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Santa Barbara, CA
- NPI 1144325754
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1629066071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 HEATHER CT",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659738",
"telephone_number": "805-434-3035",
"fax_number": "805-434-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 HEATHER CT",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659738",
"telephone_number": "805-434-3035",
"fax_number": "805-434-3065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "MOYA",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "805-474-7010",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "050000125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55220G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vineyard Hills Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Templeton, CA
- Suvarna Choudhari, M.D.
- Reanna Lynn Clayton, MSN, FNP-C
- CMG Medical Group Inc
- Coast Orthopedic Specialty Associates
- Coastal Cardiology a Medical Corp
- Coastal Radiation Oncology Medical Group, Inc. (Templeton Radiation Oncology Medical Center, Inc.)
- Coastal Wellness Medical Group, Inc
- Kevin Francis Colton, MD
- Community Health Centers of the Central Coast Inc
- Community Health Centers of the Central Coast Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.