NPIMap

Organization Active NPI

Core Care V a Ca Limited

  • Skilled Nursing Facility
  • Fullerton, CA
National Provider Identifier
1972594463
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000329 Issued in CA
Legal business name
CORE CARE V A CA LIMITED
Practice address
2525 Brea Blvd
Fullerton, CA 92835-2787
Phone
(714) 256-1000
Fax
(714) 256-8014
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mr. Elwood J. Wilson III
Title
President
Phone
(760) 704-6255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 300613274 CA
Skilled Nursing Facility 314000000X 060000329 CA Primary

Addresses

Primary practice location

2525 Brea Blvd
Fullerton, CA 92835-2787

Mailing address

2525 Brea Blvd
Fullerton, CA 92835-2787
Phone (714) 256-1000

Other names 1

  • Park Vista at Morningside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070615000428 CA Part A Provider - Skilled Nursing Facility 1456450485 Practice locations: Fullerton, CA

Skilled nursing facility certification: CCN 555515

Legal name
CORE CARE V A CA LIMITED
Doing business as
PARK VISTA AT MORNINGSIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 4, 1992
Last certification
Dec 5, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
PartnershipProprietary
Incorporated
Apr 17, 1992 in CA
Enrollment address
2525 Brea Blvd
Fullerton, CA 92835-2787
Nursing home name
PARK VISTA AT MORNINGSIDE
Affiliated entity
CONTINUING LIFE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Park Vista at MorningsideCCN 555515
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Aug 4, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9951.2 residents per day on average
Chain
Continuing Life6 facilities in the chain
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2525 Brea Blvd
#B
Fullerton, CA 92835
Phone (714) 256-8111

2525 Brea Blvd
Fullerton, CA 92835
Phone (714) 256-1000

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Core Care V a Ca Limited Organization, Fullerton, CA 5% Or Greater Direct Ownership Interest Apr 17, 1992 100%
Morningside Corecare Associates, LP Organization, Menlo Park, CA General Partnership Interest Apr 17, 1992 60%
Elwood Justin Wilson Individual 5% Or Greater Indirect Ownership InterestPresident Apr 17, 1992 16.5%
Corporate OfficerPresident Apr 17, 1992
Corecare II Organization, Menlo Park, CA Limited Partnership Interest Apr 17, 1992 40%
Warren Edwards Spieker Individual 5% Or Greater Indirect Ownership InterestCfo, VP and Secretary Apr 17, 1992 65.83%
Corporate OfficerCfo, VP and Secretary Apr 17, 1992
Corecare, Inc. Organization, Menlo Park, CA For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 1992 1.1%
Haidy Mikhael Andrawes Individual Operational/Managerial ControlNha Jun 1, 2018
Morningside SP Associates, Inc. Organization, Menlo Park, CA For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 1992 1%
Spieker 2010 Irrv Childrens TR Organization, Menlo Park, CA 5% Or Greater Indirect Ownership Interest Aug 10, 2010 16.67%
Continuing Life, LLC Organization, Carlsbad, CA For-profit Operational/Managerial Control May 1, 2013
Darolyn Marie Jorgensen-Kares Individual Operational/Managerial ControlCoo May 1, 2013

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1972594463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BREA BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352787",
            "telephone_number": "714-256-1000",
            "fax_number": "714-256-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 BREA BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352787",
            "telephone_number": "714-256-1000",
            "fax_number": "714-256-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CARE V A CA LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELWOOD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-704-6255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "300613274",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Vista at Morningside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.