VILLA MESA CARE CENTER
NPI 1588770929
Skilled Nursing Facility in Upland, CA

Active since August 21, 2006CLIA 05D0564964 · Waiver
3/5
Overall Rating
867 E 11TH ST, UPLAND, CA 91786(909) 985-1981(909) 982-2885 Get Directions Write a Review

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

About Villa Mesa Care Center NPPES

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

VILLA MESA CARE CENTER (NPI 1588770929) is a healthcare organization registered as a skilled nursing facility in Upland, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer Greenwell, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1588770929
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSELA HEALTHCARE INC
Location Address867 E 11TH STUpland, CA 91786-4867
Mailing Address16742 Orange WayFontana, CA 92335-3809 · (909) 987-7735 · Fax (909) 484-6809
Fax(909) 982-2885
Organization SubpartNo
Authorized OfficialJennifer GreenwellChief Financial Officer · (909) 987-7735
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 19, 2015
NPI 1588770929 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 · 240000203
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.

867 E 11TH ST, Upland, CA 91786

Other Names 1

Doing Business AsVilla Mesa Care Center

Other Identifiers 2

Medicare OSCAR/certification056136CA
MedicaidZZT06136ICA

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 05D0564964

Villa Mesa Care Center · Upland, CA
Active · expires Aug 31, 2026
CLIA Number05D0564964
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas Woodbury MD
Laboratory Phone(909) 985-1981
Laboratory LocationVilla Mesa Care Center867 East 11th Street, Upland, CA 91786
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 Mesa Care Center (CMS certification number 056136), from CMS Care Compare.

Villa Mesa Care Center

Nursing home · Upland, CA
3/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number056136
Certified Beds99 beds99 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1972
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
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.
4/5
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.
62
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 2.41 · LPN 1.25 · RN 0.19
3.86 hrs per resident per day
Weekend Nurse Staffing
3.51 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.9%
Registered Nurse Turnover
87.5%
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
5
Substantiated Complaints
13
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 3

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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
867 E 11TH ST
UPLAND, CA 91786
Skilled Nursing Facility
867 E 11TH ST
UPLAND, CA 91786
Skilled Nursing Facility
867 E 11TH ST
UPLAND, CA 91786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588770929, enumerated as an "organization" on August 21, 2006.

The provider is located at 867 E 11TH ST UPLAND, CA 91786 and the phone number is (909) 985-1981.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.