NPIMap

Organization Active NPI

Extended Care Hospital of Westminster

  • Skilled Nursing Facility
  • Westminster, CA
National Provider Identifier
1700987922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EXTENDED CARE HOSPITAL OF WESTMINSTER
Practice address
206 Hospital Circle
Westminster, CA 92683
Phone
(714) 891-2769
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela Duke
Title
Office Manager
Phone
(714) 891-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

206 Hospital Circle
Westminster, CA 92683

Mailing address

206 Hospital Circle
Westminster, CA 92683
Phone (714) 891-2769

Other identifiers 1

IdentifierTypeStateIssuer
LTC55211HMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000391 CA Part A Provider - Skilled Nursing Facility 8224158241 Practice locations: Westminster, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700987922. Details of each certification follow.

Skilled nursing facility certification: CCN 555211

Legal name
EXTENDED CARE HOSPITAL OF WESTMINSTER
Doing business as
EXTENDED CARE HOSPITAL OF WESTMINSTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 5, 1985
Last certification
May 23, 2024
Beds
99
Ownership / control type
Partnership
Organization structure
PartnershipProprietary
Enrollment address
206 Hospital Cir
Westminster, CA 92683-3910
Nursing home name
EXTENDED CARE HOSPITAL OF WESTMINSTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Extended Care Hospital of WestminsterCCN 555211 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 5, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9996.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Westminster TRC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number 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
Mark & Fred Enterprises Organization, Westminster, CA For-profit 5% Or Greater Direct Ownership Interest Mar 1, 1996 50%
George Rodes Individual Corporate OfficerCfo Mar 1, 1996 100%
W-2 Managing EmployeeCfo Mar 1, 1996
Donna Meyer Individual W-2 Managing EmployeeDirector of Operations Mar 1, 1996
Marc Landry Individual 5% Or Greater Direct Ownership Interest Mar 1, 1996 50%
Riverside Magnolia Corp Organization, June Lake, CA For-profit 5% Or Greater Direct Ownership Interest Mar 1, 1996 50%
Ralph Lockhart Individual 5% Or Greater Direct Ownership Interest Mar 1, 1996 50%

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700987922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL CIRCLE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-891-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL CIRCLE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92683",
            "telephone_number": "714-891-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE HOSPITAL OF WESTMINSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-891-2769"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55211H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.