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CASA DEL SOL - RESIDENCE
NPI 1104208727
Assisted Living Facility in Los Angeles, CA

Active since June 19, 2015CLIA 05D0721821 · Waiver
11620 W WASHINGTON BLVD, LOS ANGELES, CA 90066(310) 390-9045(310) 391-7677 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Casa Del Sol - Residence NPPES

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

CASA DEL SOL - RESIDENCE (NPI 1104208727) is a healthcare organization registered as an assisted living facility in Los Angeles, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James R Preimesberger, President, as its authorized official.

NPPES Registry Identity

NPI1104208727
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVISTA DEL SOL HEALTH SERVICES INC
Location Address11620 W WASHINGTON BLVDLos Angeles, CA 90066-5916
Mailing Address11620 W Washington BlvdLos Angeles, CA 90066-5916 · (310) 390-9045 · Fax (310) 391-7677
Phone(310) 390-9045
Fax(310) 391-7677
Organization SubpartNo
Authorized OfficialJames R PreimesbergerPresident · (310) 390-9045
Enumeration DateJune 19, 2015
✔ NPI 1104208727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 191605306
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
11620 W WASHINGTON BLVD, Los Angeles, CA 90066
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Other Names 1

Doing Business AsCasa Del Sol - Residence

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 05D0721821

Vista Del Sol Care Center · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0721821
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWilliam Pullen
Laboratory Phone(310) 390-9045
Laboratory LocationVista Del Sol Care Center11620 W Washington Blvd, Los Angeles, CA 90066
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

VISTA DEL SOL HEALTH SERVICES INC
Skilled Nursing Facility
11620 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-9045
MBJ THERAPY, LLC
Clinic/Center (Rehabilitation)
11620 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (781) 864-8252
APPLE CARE CENTER LLC
Skilled Nursing Facility
11620 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-9045
VISTA DEL SOL LTC, INC.
Skilled Nursing Facility
11620 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 390-9045

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 Vista Del Sol Health Services Inc's NPI number?

The NPI number for Vista Del Sol Health Services Inc is 1104208727. It was assigned to this organization in the NPPES registry on June 19, 2015. The provider is doing business as Casa Del Sol - Residence.

Where is Vista Del Sol Health Services Inc located?

Vista Del Sol Health Services Inc is located at 11620 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-9045.

What is Vista Del Sol Health Services Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Vista Del Sol Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0721821) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vista Del Sol Health Services Inc was last updated on June 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.