Active NPI
1440 South Euclid St LLC
Doing business as buena vista care center
- Skilled Nursing Facility
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 1440 SOUTH EUCLID ST LLC
- Doing business as
- buena vista care center
- Practice address
- 1440 S Euclid St
Anaheim, CA 92802-2156 - Phone
- (714) 535-7264
- Fax
- (714) 535-0940
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 22, 2020
- 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
- Caroline L Boyer
- Title
- Director of Patient Accounting
- Phone
- (818) 367-9546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
1440 S Euclid St
Anaheim, CA 92802-2156
Mailing address
1440 S Euclid St
Anaheim, CA 92802-2156
Phone (714) 535-7264
Other names 1
- buena vista care 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 |
|---|---|---|---|---|
| O20110518000262 | CA | Part A Provider - Skilled Nursing Facility | 3678759172 | Practice locations: Anaheim, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740275486. Details of each certification follow.
Skilled nursing facility certification: CCN 055459
- Legal name
- 1440 SOUTH EUCLID ST LLC
- Doing business as
- BUENA VISTA CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 1, 2024
- Beds
- 99
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- Dec 20, 2000 in CA
- Enrollment address
- 1440 S Euclid St
Anaheim, CA 92802-2156 - Nursing home name
- BUENA VISTA CARE CENTER
- Affiliated entity
- CAMBRIDGE HEALTHCARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Buena Vista Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Cambridge Healthcare Services
National Provider Directory
National Provider DirectoryLocations
1440 S Euclid St
Anaheim, CA 92802
Phone (714) 535-7264
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Win Win Enterprises, LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2006 | 58.06% |
| Cambridge Healthcare Services LLC | Other | Jul 1, 2010 | |
| Wolff Living Trust DTD 03/09/2000 | 5% Or Greater Direct Ownership Interest | Dec 1, 2006 | 6.94% |
| Ira Smedra | 5% Or Greater Direct Ownership Interest | Dec 1, 2006 | 20% |
| Corporate Officer | Dec 1, 2006 | ||
| Shersher LP | 5% Or Greater Direct Ownership Interest | Dec 1, 2006 | 6.94% |
| Jacob Wintner | 5% Or Greater Indirect Ownership Interest | Dec 1, 2006 | 14.51% |
| Corporate Officer | Dec 1, 2006 | ||
| Operational/Managerial Control | Dec 1, 2006 | ||
| The Wintner Living Trust Dated 7/08/1992 | 5% Or Greater Indirect Ownership Interest | Dec 1, 2006 | 29.03% |
| Pegah Sahebifard | W-2 Managing Employee | Apr 6, 2020 | |
| Operational/Managerial Control | Apr 6, 2020 | ||
| Heather Langford | Other | May 1, 2017 |
Facilities with the same owner 27
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mountain View Convalescent Hospital
- Skilled Nursing Facility
- Sylmar, CA
- NPI 1184619827
Shersher LP, Win Win Enterprises, LLC
-
dba Valley Palms Care Center
- Skilled Nursing Facility
- North Hollywood, CA
- NPI 1801881479
Shersher LP, Win Win Enterprises, LLC, Wolff Living Trust DTD 03/09/2000
-
dba Anaheim Crest Nursing Center
- Skilled Nursing Facility
- Anaheim, CA
- NPI 1568457299
Shersher LP, Win Win Enterprises, LLC, Wolff Living Trust DTD 03/09/2000
-
dba Briarcrest Nursing Center
- Skilled Nursing Facility
- Bell Gardens, CA
- NPI 1548255284
Shersher LP, Win Win Enterprises, LLC
-
dba Huntington Drive Health & Rehabilitation Center
- Skilled Nursing Facility
- Arcadia, CA
- NPI 1649264292
Win Win Enterprises, LLC
-
dba Country Manor La Mesa Healthcare Center
- Skilled Nursing Facility
- La Mesa, CA
- NPI 1457345001
Win Win Enterprises, LLC
-
dba Laguna Hills Health & Rehabilitation Center
- Skilled Nursing Facility
- Laguna Hills, CA
- NPI 1720072374
Win Win Enterprises, LLC
-
dba Lynwood Healthcare Center
- Skilled Nursing Facility
- Lynwood, CA
- NPI 1144214628
Win Win Enterprises, LLC
-
dba Monrovia Gardens Healthcare Center
- Skilled Nursing Facility
- Monrovia, CA
- NPI 1043204522
Win Win Enterprises, LLC
-
dba Murrieta Health & Rehabilitation Center
- Skilled Nursing Facility
- Murrieta, CA
- NPI 1174517650
Win Win Enterprises, LLC
-
dba Rancho Mirage Health & Rehabilitation Center
- Skilled Nursing Facility
- Rancho Mirage, CA
- NPI 1164416657
Win Win Enterprises, LLC
-
dba Highland Care Center of Redlands
- Skilled Nursing Facility
- Redlands, CA
- NPI 1790779288
Win Win Enterprises, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Clinical Cardiac Electrophysiology Physician
- Anaheim, CA
- NPI 1326219783
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- Anaheim, CA
- NPI 1639431836
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740275486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022156",
"telephone_number": "714-535-7264",
"fax_number": "714-535-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022156",
"telephone_number": "714-535-7264",
"fax_number": "714-535-0940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1440 SOUTH EUCLID ST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
"authorized_official_telephone_number": "818-367-9546"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "buena vista care center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.