VILLA LAS PALMAS HEALTHCARE CENTER
NPI 1023048295
Skilled Nursing Facility in El Cajon, CA

Active since July 04, 2006CLIA 05D0713177 · Waiver
3/5
Overall Rating
622 S ANZA ST, EL CAJON, CA 92020(619) 442-0544(619) 442-6177 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 6, 2024 (2 updates tracked since 2024).

About Villa Las Palmas Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLA LAS PALMAS HEALTHCARE CENTER (NPI 1023048295) is a healthcare organization registered as a skilled nursing facility in El Cajon, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1023048295
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFREY PINE HOLDINGS, LLC
Location Address622 S ANZA STEl Cajon, CA 92020-6602
Mailing Address262 N University AveFarmington, UT 84025-2975
Fax(619) 442-6177
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1023048295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 090000026
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
622 S ANZA ST, El Cajon, CA 92020

Other Names 1

Doing Business AsVilla Las Palmas Healthcare Center

Other Identifiers 3

Medicaid1023048295CA
MedicaidLTC70085GCA
MedicaidZZT05806ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0713177

Villa Las Palmas Healthcare Center · El Cajon, CA
Active · expires Aug 31, 2026
CLIA Number05D0713177
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMansour Mofidi
Laboratory Phone(619) 442-0544
Laboratory LocationVilla Las Palmas Healthcare Center622 South Anza Street, El Cajon, CA 92020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Villa Las Palmas Healthcare Center (CMS certification number 055806), from CMS Care Compare.

Villa Las Palmas Healthcare Center

Nursing home · El Cajon, CA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055806
Certified Beds151 beds145 residents per day on average
Medicare & Medicaid Participant SinceAugust 17, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
96.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.57 · LPN 0.94 · RN 0.41
3.92 hrs per resident per day
Weekend Nurse Staffing
3.73 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
46.1%
Registered Nurse Turnover
36.8%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
10
Infection-Control Citations
0
Fines
2 totaling $23,017.75
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (General Practice)
622 S ANZA ST
EL CAJON, CA 92020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Pine Holdings, LLC's NPI number?

The NPI number for Jeffrey Pine Holdings, LLC is 1023048295. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Villa Las Palmas Healthcare Center.

Where is Jeffrey Pine Holdings, LLC located?

Jeffrey Pine Holdings, LLC is located at 622 S Anza St, El Cajon, CA 92020. The listed phone number is (619) 442-0544.

What is Jeffrey Pine Holdings, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Jeffrey Pine Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0713177) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jeffrey Pine Holdings, LLC a Medicare-certified nursing home?

Yes. Villa Las Palmas Healthcare Center is a Medicare-certified nursing home with 151 certified beds.

What quality rating does Jeffrey Pine Holdings, LLC have?

CMS rates Villa Las Palmas Healthcare Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Jeffrey Pine Holdings, LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.