NPIMap

Organization Active NPI

Casa de Las Campanas, Inc.

Doing business as Casa de las Campanas

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1770566978
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080000313 Issued in CA
Legal business name
CASA DE LAS CAMPANAS, INC.
Doing business as
Casa de las Campanas
Practice address
18655 W Bernardo Dr
San Diego, CA 92127-3002
Phone
(858) 451-9152
Fax
(858) 592-9649
NPI assigned
Nov 22, 2005
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mrs. Jill Sorenson
Title
Executive Director
Phone
(858) 592-1899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 374600488 CA
Skilled Nursing Facility 314000000X 080000313 CA Primary

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 1

  • Casa de las Campanas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000472 CA Part A Provider - Skilled Nursing Facility 9739184276 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770566978. Details of each certification follow.

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
CorporationNon-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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Casa de Las CampanasCCN 555362 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
9959.4 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maritza M Maezze Individual Corporate OfficerSecretary Oct 16, 2023
Corporate DirectorBoard Member Oct 16, 2023
Life Care Companies LLC Organization, Des Moines, IA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 29, 2010 100%
James M Roth Individual Corporate DirectorBoard Member Dec 5, 2017
Brooke Harris Individual Operational/Managerial Control Aug 22, 2024
Adp of the SNF Aug 22, 2024
David Johnson Individual Corporate OfficerTreasurer Aug 31, 2006
Corporate DirectorBoard Member Aug 31, 2006
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 1997
Adp of the SNF Jun 4, 2025
James C Seifert Individual Corporate OfficerVice President Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
Janette D Piankoff Individual Corporate OfficerPresident Dec 1, 2021
Corporate DirectorBoard Member Dec 1, 2021
LCS Holding Company LLC Organization, Des Moines, IA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 100%
Oak Investment Trust Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Dec 31, 2010 17.78%
Carl G Haines Individual Corporate DirectorBoard Member Dec 6, 2023
Vernon R Pertelle Individual Corporate DirectorBoard Member Dec 1, 2021
McCarthy Group LLC Organization, Omaha, NE LLC 5% Or Greater Indirect Ownership Interest Jul 30, 2001 10.34%
James C Wills Individual Corporate DirectorBoard Member Apr 10, 2024
Oak Investment Trust II Organization, Tampa, FL 5% Or Greater Indirect Ownership Interest Dec 31, 2010 47.34%
Brian D McLean Individual Corporate DirectorBoard Member Apr 17, 2024
Kimberly L Finch-Dominy Individual Operational/Managerial ControlExecutive Director Jan 4, 2008
City National Financing, Inc. Organization, Los Angeles, CA Corporation, Financial institution, For-profit 5% Or Greater Security Interest Sep 1, 2020 29.7%
Saleem Rajper Individual Operational/Managerial Control Nov 1, 2015
Adp of the SNF Nov 1, 2015
LCS Management Holding Company LLC Organization, Des Moines, IA LLC 5% Or Greater Indirect Ownership Interest Dec 28, 2021 11.11%
McCarthy Partners, LLC Organization, Omaha, NE LLC 5% Or Greater Indirect Ownership Interest Jul 30, 2021 0.98%
Rci Legacy Holdings LLC Organization, Hanover, MD LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 74.28%
Megan Tanner Individual Corporate DirectorBoard Member Mar 1, 2025
Redwood Holdings LLC Organization, Hanover, MD LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 74.28%
Steve P D'Adolf Individual Corporate DirectorBoard Member Feb 28, 2025
Casa de Las Campanas, Inc. Organization, San Diego, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 15, 2006 100%
MPM Senior Living Investors LLC Organization, Omaha, NE LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 28, 2021 14.61%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 119

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 119

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1770566978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18655 W BERNARDO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273002",
            "telephone_number": "858-451-9152",
            "fax_number": "858-592-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18655 W BERNARDO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273002",
            "telephone_number": "858-451-9152",
            "fax_number": "858-592-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE LAS CAMPANAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-592-1899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "374600488",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de las Campanas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa de las Campanas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.