Casa de Las Campanas, Inc.
Organization Active NPI Skilled Nursing Facility · San Diego, CA
NPI 1770566978 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1770566978
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 080000313 (CA)
- Legal business name
- CASA DE LAS CAMPANAS, INC.
- Practice address
- 18655 W Bernardo Dr
San Diego, CA 92127-3002 - Phone
- (858) 451-9152
- Fax
- (858) 592-9649
- NPI assigned
- Nov 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jill Sorenson
- Title
- Executive Director
- Phone
- (858) 592-1899
Owners & managing parties with NPI records 1
-
Saleem Rajper, M.D.
Facilities with the same owner 119
Affiliated clinicians 3
-
Richard Thien Nguyen, M.D.
-
Saleem Rajper, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Casa de Las Campanas
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare
- Ownership
- Non profit - Other
- Certified
- Feb 24, 1989
- Medicare certification status
- Active
- Certified beds
- 99 · 59.4 residents per day on average
- Chain
- Life Care Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555362
- Legal name
- CASA DE LAS CAMPANAS, INC.
- Doing business as
- CASA DE LAS CAMPANAS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Feb 24, 1989
- Last certification
- Jun 7, 2024
- Beds
- 99
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 19, 1998 in CA
- Enrollment address
- 18655 W Bernardo Dr
San Diego, CA 92127-3002 - Nursing home name
- CASA DE LAS CAMPANAS
- Affiliated entity
- LIFE CARE SERVICES
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Maritza M Maezze |
Corporate Officer |
Oct 16, 2023 | |
| Corporate Director |
Oct 16, 2023 | ||
| Life Care Companies LLC |
5% Or Greater Direct Ownership Interest | Mar 29, 2010 | 100% |
| James M Roth |
Corporate Director |
Dec 5, 2017 | |
| Brooke Harris |
Operational/Managerial Control | Aug 22, 2024 | |
| Adp of the SNF | Aug 22, 2024 | ||
| David Johnson |
Corporate Officer |
Aug 31, 2006 | |
| Corporate Director |
Aug 31, 2006 | ||
| Life Care Services LLC |
Operational/Managerial Control | Jan 1, 1997 | |
| Adp of the SNF | Jun 4, 2025 | ||
| James C Seifert |
Corporate Officer |
Jan 1, 2021 | |
| Corporate Director |
Jan 1, 2021 | ||
| Janette D Piankoff |
Corporate Officer |
Dec 1, 2021 | |
| Corporate Director |
Dec 1, 2021 | ||
| LCS Holding Company LLC |
5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 100% |
| Oak Investment Trust |
5% Or Greater Indirect Ownership Interest | Dec 31, 2010 | 17.78% |
| Carl G Haines |
Corporate Director |
Dec 6, 2023 | |
| Vernon R Pertelle |
Corporate Director |
Dec 1, 2021 | |
| McCarthy Group LLC |
5% Or Greater Indirect Ownership Interest | Jul 30, 2001 | 10.34% |
| James C Wills |
Corporate Director |
Apr 10, 2024 | |
| Oak Investment Trust II |
5% Or Greater Indirect Ownership Interest | Dec 31, 2010 | 47.34% |
| Brian D McLean |
Corporate Director |
Apr 17, 2024 | |
| Kimberly L Finch-Dominy |
Operational/Managerial Control |
Jan 4, 2008 | |
| City National Financing, Inc. |
5% Or Greater Security Interest | Sep 1, 2020 | 29.7% |
| Saleem Rajper |
Operational/Managerial Control | Nov 1, 2015 | |
| Adp of the SNF | Nov 1, 2015 | ||
| LCS Management Holding Company LLC |
5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 11.11% |
| McCarthy Partners, LLC |
5% Or Greater Indirect Ownership Interest | Jul 30, 2021 | 0.98% |
| Rci Legacy Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 74.28% |
| Megan Tanner |
Corporate Director |
Mar 1, 2025 | |
| Redwood Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 74.28% |
| Steve P D'Adolf |
Corporate Director |
Feb 28, 2025 | |
| Casa de Las Campanas, Inc. |
5% Or Greater Direct Ownership Interest | Sep 15, 2006 | 100% |
| MPM Senior Living Investors LLC |
5% Or Greater Indirect Ownership Interest | Dec 28, 2021 | 14.61% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060915000472 | CA | Part a Provider - Skilled Nursing Facility | 9739184276 | Practice locations: San Diego, CA |
National Provider Directory
Locations
18655 W Bernardo Dr
Ofc
San Diego, CA 92127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 374600488 | CA | |
| Skilled Nursing Facility | 314000000X | 080000313 | CA | Yes |
Addresses
Primary practice location
18655 W Bernardo Dr
San Diego, CA 92127-3002
Mailing address
18655 W Bernardo Dr
San Diego, CA 92127-3002
Phone (858) 451-9152
Other names
- Casa de las Campanas
Other providers in San Diego, CA
- Austin Carver
- Amelia Cary
- Christopher W. Cary
- Martin D Cary
- Phoenix Carzino
- Casa Palmera Care Center, Inc.
- Janine Casale
- Diego Casali
- Edwina Api Casanada
- Maria Selena Casanova-Smith
All providers in San Diego, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.