NPIMap

Organization Active NPI

Windflower Holdings, LLC

Doing business as Rocky Point Care Center

  • Skilled Nursing Facility
  • Lakeport, CA
National Provider Identifier
1942508171
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDFLOWER HOLDINGS, LLC
Doing business as
Rocky Point Care Center
Practice address
625 16TH St
Lakeport, CA 95453-3501
Phone
(707) 263-6101
NPI assigned
Mar 11, 2011
Last updated
Jun 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Paul Hubbard
Title
Manager
Phone
(760) 471-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

625 16TH St
Lakeport, CA 95453-3501

Mailing address

2175 Salk Ave Ste 300
Carlsbad, CA 92008-7346
Phone (760) 471-0388

Other identifiers 1

IdentifierTypeStateIssuer
1942508171MedicaidCA

Other names 1

  • ROCKY POINT CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000251 CA Part A Provider - Skilled Nursing Facility 6507043502 Practice locations: Lakeport, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942508171. Details of each certification follow.

Skilled nursing facility certification: CCN 055499

Legal name
WINDFLOWER HOLDINGS, LLC
Doing business as
ROCKY POINT CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jun 21, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
North American Health Services
Organization structure
LLCProprietary
Incorporated
Feb 1, 2011 in CA
Enrollment address
625 16TH St
Lakeport, CA 95453-3501
Nursing home name
ROCKY POINT CARE CENTER
Affiliated entity
NAHS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rocky Point Care CenterCCN 055499 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9059.5 residents per day on average
Chain
Nahs12 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0612178Rocky Point Care Center625 16TH Street, Lakeport, CA 95453Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jacob Beaman Individual Corporate DirectorDirector Oct 1, 2021
Jeffrey a Daly Individual Corporate OfficerCfo/Treasurer Oct 1, 2021
Nahs Employee Stock Ownership Trust Organization, Mission Viejo, CA 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
Nahs Holding Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2021 100%
James Ellis-Sherinian Individual Corporate DirectorDirector Oct 1, 2021
Nahs North Inc Organization, Mission Viejo, CA Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Victor G Lundquist Individual Corporate OfficerOfficer Oct 1, 2021
Kristina Schell Individual Corporate OfficerOfficer Oct 1, 2021
Corporate DirectorDirector Oct 1, 2021
W-2 Managing EmployeeAdministrator / President Oct 1, 2021
Operational/Managerial Control Oct 1, 2021

Facilities with the same owner 10

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

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": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1942508171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 SALK AVE STE 300",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087346",
            "telephone_number": "760-471-0388",
            "fax_number": "760-471-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 16TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954533501",
            "telephone_number": "707-263-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDFLOWER HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-471-0388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942508171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKY POINT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROCKY POINT CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.