Casa Pacifica Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000096 Issued in CA

Legal business name

CASA PACIFICA NURSING CENTER, LLC

Doing business as

Harbor Villa Care Center

Practice address

861 South Harbor Boulevard
Anaheim, CA 92805

Phone

(714) 635-8131

Fax

(714) 635-8960

NPI assigned

Sep 19, 2005

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Wintner

Title

Manager

Phone

(323) 651-1808

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HARBOR VILLA CARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902891641. Details of each certification follow.

• CCN 055742 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 055742

Legal name

CASA PACIFICA NURSING CENTER LLC

Doing business as

HARBOR VILLA CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1967

Last certification

Jan 10, 2025

Beds

99

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jan 4, 2002 in CA

Enrollment address

861 S Harbor Blvd
Anaheim, CA 92805-5157

Nursing home name

HARBOR VILLA CARE CENTER

Affiliated entity

CAMBRIDGE HEALTHCARE SERVICES

Listed as

Harbor Villa Care CenterCCN 055742 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9989.5 residents per day on average

Chain

Cambridge Healthcare Services32 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 30

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

Facilities with the same owner 27

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

• 13333 Fenton Ave LLC

  dba Mountain View Convalescent Hospital

  • Skilled Nursing Facility
  • Sylmar, CA
  • NPI 1184619827

  Shersher LP, Win Win Enterprises, LLC

  CMS ownership
• 13400 Sherman Way LLC

  dba Valley Palms Care Center

  • Skilled Nursing Facility
  • North Hollywood, CA
  • NPI 1801881479

  Ira E Smedra Living Trust, Shersher LP, Win Win Enterprises, LLC

  CMS ownership
• 1440 South Euclid St LLC

  dba buena vista care center

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1740275486

  Shersher LP, Win Win Enterprises, LLC

  CMS ownership
• 3067 Orange Avenue LLC

  dba Anaheim Crest Nursing Center

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1568457299

  Ira E Smedra Living Trust, Shersher LP, Win Win Enterprises, LLC

  CMS ownership
• 5648 East Gotham Street LLC

  dba Briarcrest Nursing Center

  • Skilled Nursing Facility
  • Bell Gardens, CA
  • NPI 1548255284

  Ira E Smedra Living Trust, Shersher LP, Win Win Enterprises, LLC

  CMS ownership
• Ag Arcadia, LLC

  dba Huntington Drive Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Arcadia, CA
  • NPI 1649264292

  Win Win Enterprises, LLC

  CMS ownership
• Ag la Mesa, LLC

  dba Country Manor La Mesa Healthcare Center

  • Skilled Nursing Facility
  • La Mesa, CA
  • NPI 1457345001

  Win Win Enterprises, LLC

  CMS ownership
• Ag Laguna Hills, LLC

  dba Laguna Hills Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Laguna Hills, CA
  • NPI 1720072374

  Win Win Enterprises, LLC

  CMS ownership
• Ag Lynwood, LLC

  dba Lynwood Healthcare Center

  • Skilled Nursing Facility
  • Lynwood, CA
  • NPI 1144214628

  Win Win Enterprises, LLC

  CMS ownership
• Ag Monrovia, LLC

  dba Monrovia Gardens Healthcare Center

  • Skilled Nursing Facility
  • Monrovia, CA
  • NPI 1043204522

  Win Win Enterprises, LLC

  CMS ownership
• Ag Murrieta SNF, LLC

  dba Murrieta Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Murrieta, CA
  • NPI 1174517650

  Win Win Enterprises, LLC

  CMS ownership
• Ag Rancho Mirage, LLC

  dba Rancho Mirage Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Rancho Mirage, CA
  • NPI 1164416657

  Win Win Enterprises, LLC

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alex Hashemi, MD

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1275161184

  Nursing home

  Care Compare affiliation
• Wesam G Houshan, MD

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1356467112

  Nursing home

  Care Compare affiliation
• Nishchal Kumar, M.D.

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1962712729

  Nursing home

  Care Compare affiliation
• Joey Arcadio L Santos, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1386656114

  Nursing home

  Care Compare affiliation
• Taylor Quoc Nguyen, M.D.

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1164885836

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1902891641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SOUTH HARBOR BOULEVARD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-635-8131",
            "fax_number": "714-635-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 SOUTH HARBOR BOULEVARD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92805",
            "telephone_number": "714-635-8131",
            "fax_number": "714-635-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA PACIFICA NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "WINTNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-651-1808"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05742G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR VILLA CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Carswell
• Lena Elizabeth-Rae Carter-Scott
• Olivia Carter
• Emily Carty
• Casa Elena Recovery Home
• Ivan Casabianca
• Michelle Casados
• John M. Casamiquela, MD
• Joe M Casas
• Darlene Marie Case, DC

• Skilled Nursing Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.

Verify at the official NPI Registry.