Organization Active NPI

Coastal LLC

Doing business as Vineyard Hills Health Center

  • Skilled Nursing Facility
  • Templeton, CA
National Provider Identifier
1629066071
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050000125 Issued in CA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LTC55220GMedicaidCA

Other names 1

  • Vineyard Hills Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 555220 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 28, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9991.9 residents per day on average
Chain
Compass Health, Inc.7 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
05D0643520Vineyard Hills Health Center290 Heather Court, Templeton, CA 93465Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Timothy L Hodge Individual Corporate OfficerSecretary Jan 1, 2011 33.33%
Operational/Managerial ControlLegal Counsel Jan 1, 2011 5%
Compass Health Inc Organization, Grover Beach, CA Corporation 5% Or Greater Direct Ownership Interest Mar 1, 1996 100%
Marie Moya Individual Corporate OfficerTreasurer Jan 1, 2011 33.33%
Operational/Managerial ControlController Jan 1, 2011 5%
Dean Gosselin Individual W-2 Managing EmployeeAdministrator Nov 1, 2019 100%
Darren Smith Individual Corporate OfficerPresident Jan 1, 2011 33.33%
Corporate DirectorCeo Jan 1, 2011 33.33%
Coastal LLC Organization, Templeton, CA 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.

FacilityTypeRoleSince
Danish Care CenterAtascadero, CA, CCN 555554 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.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "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

Sources for this page

Verify at the official NPI Registry.