Freedom Village
LBN: Casa Pacifica
Freedom Village is an health care organization with primary practice located at 23442 El Toro Rd , Lake Forest CA 92630-6979. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Casa Pacifica can be contacted via phone (949) 472-4700, or through Roskamp, Cheryl via phone (949) 489-0430.
Contact Information
Primary practice address
23442 El Toro Rd
Lake Forest CA 92630-6979
Phone: (949) 472-4700
Fax: (949) 855-0428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 300606831 | California |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 060000246 | California |
Profile Details
| NPI number | 1841354354 |
|---|---|
| LBN Legal business name | Casa Pacifica |
| DBA Doing business as | Freedom Village |
| Authorized official | Roskamp, Cheryl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jun 18th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841354354 | NPPES |
| California | MEDICAID | 555391 |
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