Active NPI
Imperial Care LLC
- Skilled Nursing Facility
- El Centro, CA
National Provider Identifier
1982279535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- IMPERIAL CARE LLC
- Practice address
- 1700 S Imperial Ave
El Centro, CA 92243-4208 - Phone
- (760) 352-8471
- NPI assigned
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kirby
- Title
- Manager
- Phone
- (619) 201-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1700 S Imperial Ave
El Centro, CA 92243-4208
Mailing address
1700 S Imperial Ave
El Centro, CA 92243-4208
Phone (760) 352-8471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211028001741 | CA | Part A Provider - Skilled Nursing Facility | 3375931009 | Practice locations: El Centro, CA |
Skilled nursing facility certification: CCN 555158
- Legal name
- IMPERIAL CARE LLC
- Doing business as
- EL CENTRO POST-ACUTE CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1983
- Last certification
- Sep 12, 2024
- Beds
- 123
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 25, 2021 in CA
- Enrollment address
- 1700 S Imperial Ave
El Centro, CA 92243-4208 - Nursing home name
- EL CENTRO POST-ACUTE CARE
- Affiliated entity
- BAYSHIRE SENIOR COMMUNITIES
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Scott Kirby | 5% Or Greater Indirect Ownership Interest | Mar 25, 2021 | 100% |
| Corporate Officer | Mar 25, 2021 | ||
| Operational/Managerial Control | Mar 25, 2021 | ||
| Other | May 1, 2021 | ||
| Bayshire LLC | 5% Or Greater Direct Ownership Interest | Mar 25, 2021 | 100% |
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- El Centro Post-Acute Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 1, 1983
- Medicare certification status
- Active
- Certified beds
- 123
- Chain
- Bayshire Senior Communities
- Penalties (3 years)
- 2
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1982279535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434208",
"telephone_number": "760-352-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922434208",
"telephone_number": "760-352-8471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "619-201-5888"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
- Caroline F Ibarra
- Joanna Alejandrina Ibarra
- Aalamgeer Ibrahim, M.D.
- Icbhs
- Immediate Family Medical Care Inc.
- Imperial Clinical & Pathology Lab LLC
- Imperial County Behavioral Health
- Imperial County Behavioral Health Services
- Imperial County Behavioral Health Services
- Imperial County Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.