EASTLAKE VILLA INC
NPI 1104681600
Assisted Living Facility in Watsonville, CA

Active since February 14, 2024
591 ARLENE DR, WATSONVILLE, CA 95076(831) 228-1207(831) 851-0080 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastlake Villa Inc NPPES

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

EASTLAKE VILLA INC (NPI 1104681600) is a healthcare organization registered as an assisted living facility in Watsonville, California and active in the NPI registry since February 2024. The organization lists Dexlier Casas Go, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104681600
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEASTLAKE VILLA INC
Location Address591 ARLENE DRWatsonville, CA 95076-3518
Mailing Address591 Arlene DrWatsonville, CA 95076-3518 · (831) 228-1207 · Fax (831) 851-0080
Fax(831) 851-0080
Organization SubpartNo
Authorized OfficialDexlier Casas GoAdministrator · (213) 400-4341
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1104681600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

591 ARLENE DR, Watsonville, CA 95076

Other Providers at the Same Location NPPES

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

Assisted Living Facility
591 ARLENE DR
WATSONVILLE, CA 95076

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 Eastlake Villa Inc's NPI number?

The NPI number for Eastlake Villa Inc is 1104681600. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Eastlake Villa Inc located?

Eastlake Villa Inc is located at 591 Arlene Dr, Watsonville, CA 95076. The listed phone number is (831) 228-1207.

What is Eastlake Villa Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastlake Villa Inc was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.