REO VISTA HEALTHCARE CENTER
NPI 1255499174
Skilled Nursing Facility in San Diego, CA

Active since December 04, 2006CLIA 05D0718132 · Waiver
4/5
Overall Rating
6061 BANBURY ST, SAN DIEGO, CA 92139(619) 475-2211(619) 479-5197 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reo Vista Healthcare Center NPPES

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

REO VISTA HEALTHCARE CENTER (NPI 1255499174) is a healthcare organization registered as a skilled nursing facility in San Diego, California and active in the NPI registry since December 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

NPI1255499174
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLILAC HOLDINGS, LLC
Location Address6061 BANBURY STSan Diego, CA 92139-3624
Mailing Address262 N University AveFarmington, UT 84025-2975 · (385) 518-1814
Fax(619) 479-5197
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
NPI 1255499174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
6061 BANBURY ST, San Diego, CA 92139

Other Names 1

Doing Business AsReo Vista Healthcare Center

Other Identifiers 2

Medicaid1255499174CA
MedicaidZZT18684GCA

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 05D0718132

Reo Vista Healthcare Center · San Diego, CA
Active · expires Aug 31, 2026
CLIA Number05D0718132
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorYuichiro Sato
Laboratory Phone(619) 475-2211
Laboratory LocationReo Vista Healthcare Center6061 Banbury Street, San Diego, CA 92139
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 Reo Vista Healthcare Center (CMS certification number 056330), from CMS Care Compare.

Reo Vista Healthcare Center

Nursing home · San Diego, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number056330
Certified Beds162 beds146 residents per day on average
Medicare & Medicaid Participant SinceJuly 11, 1972
Resident & Family CouncilResident and family councils
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
92.67
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 2.45 · LPN 1.24 · RN 0.52
4.21 hrs per resident per day
Weekend Nurse Staffing
3.66 hrs per resident per day
Physical Therapist Staffing
0.18 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
10
Substantiated Complaints
15
Infection-Control Citations
0
Fines
1 totaling $11,180.00
Medicare Payment Denials
1
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 2

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

Skilled Nursing Facility
6061 BANBURY ST
SAN DIEGO, CA 92139
Nurse's Aide
6061 BANBURY ST
SAN DIEGO, CA 92139

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 Lilac Holdings, LLC's NPI number?

The NPI number for Lilac Holdings, LLC is 1255499174. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Reo Vista Healthcare Center.

Where is Lilac Holdings, LLC located?

Lilac Holdings, LLC is located at 6061 Banbury St, San Diego, CA 92139. The listed phone number is (619) 475-2211.

What is Lilac Holdings, LLC's specialty?

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

Does Lilac Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0718132) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lilac Holdings, LLC a Medicare-certified nursing home?

Yes. Reo Vista Healthcare Center is a Medicare-certified nursing home with 162 certified beds.

What quality rating does Lilac Holdings, LLC have?

CMS rates Reo Vista Healthcare Center 4 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 Lilac Holdings, LLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.