Eclc Wake Forest Villa, Inc.
NPI 1619225570ActiveOrganization· Custodial Care Facility· Costa Mesa, CA
Custodial Care Facility in Costa Mesa, California, registered in NPPES in August 2012. The authorized official on file is Angelita Franco David, R.N., Administrator.
Overview
| NPI | 1619225570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2012 |
| Last updated in NPPES | Aug 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | 306001960 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Custodial Care Facility providers in Costa Mesa
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