Active NPI
Crestview HC LLC
Doing business as Ridgeview Skilled Nursing Facility
- Skilled Nursing Facility
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CRESTVIEW HC LLC
- Doing business as
- Ridgeview Skilled Nursing Facility
- Practice address
- 9825 Glen Center Dr
San Diego, CA 92131-1689 - Phone
- (858) 293-3905
- NPI assigned
- Feb 7, 2023
- Last updated
- Feb 7, 2023
- 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
- Robert Daynes, NHA
- Title
- Administrator
- Phone
- (858) 293-3905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
9825 Glen Center Dr
San Diego, CA 92131-1689
Mailing address
9825 Glen Center Dr
San Diego, CA 92131-1689
Phone (858) 293-3905
Other names 1
- Ridgeview Skilled Nursing Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230811001280 | CA | Part A Provider - Skilled Nursing Facility | 1658733324 | Practice locations: San Diego, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669179925. Details of each certification follow.
Skilled nursing facility certification: CCN 555928
- Legal name
- CRESTVIEW HC LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jul 17, 2023
- Last certification
- May 8, 2024
- Beds
- 45
- Ownership / control type
- Individual
- Organization structure
- LLC
- Incorporated
- Jun 23, 2017 in DE
- Enrollment address
- 9825 Glen Center Dr
San Diego, CA 92131-1689 - Nursing home name
- RIDGEVIEW SKILLED NURSING FACILITY
- Affiliated entity
- CONTINUING LIFE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ridgeview Skilled Nursing Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jul 17, 2023
- Medicare certification status
- Active
- Certified beds
- 45
- Chain
- Continuing Life
- Penalties (3 years)
- 6
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 |
|---|---|---|---|
| 05D2238845 | Crestview HC LLC | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Ryan W Currie | Operational/Managerial Control | Jun 23, 2017 | |
| Meghan Spieker | 5% Or Greater Indirect Ownership Interest | Jun 23, 2017 | 10% |
| Warren E. Spieker | 5% Or Greater Indirect Ownership Interest | Jun 23, 2017 | 10% |
| Spieker CLC LLC | 5% Or Greater Indirect Ownership Interest | Jun 23, 2017 | 72% |
| Richard David Aschenbrenner | 5% Or Greater Indirect Ownership Interest | Jun 23, 2017 | 10% |
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba CreekView Skilled Nursing
- Skilled Nursing Facility
- Pleasanton, CA
- NPI 1942620083
Spieker CLC LLC
-
dba OakView Skilled Nursing
- Skilled Nursing Facility
- Thousand Oaks, CA
- NPI 1083892350
Spieker CLC LLC
-
- Skilled Nursing Facility
- Rancho Mission Viejo, CA
- NPI 1689272528
Spieker CLC LLC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- San Diego, CA
- NPI 1902664220
-
- Physical Therapist
- San Diego, CA
- NPI 1669277752
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1386272482
-
- Occupational Therapist
- San Diego, CA
- NPI 1730728247
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- San Diego, CA
- NPI 1275724361
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- San Diego, CA
- NPI 1316172844
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- San Diego, CA
- NPI 1093370892
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1669179925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 GLEN CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311689",
"telephone_number": "858-293-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 GLEN CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311689",
"telephone_number": "858-293-3905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTVIEW HC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "DAYNES",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "858-293-3905",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ridgeview Skilled Nursing Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.