ECLC WAKE FOREST VILLA, INC.
NPI 1619225570
Custodial Care Facility in Costa Mesa, CA

Active since August 27, 2012
233 WAKE FOREST RD., COSTA MESA, CA 92626(714) 434-9489(949) 642-0622 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eclc Wake Forest Villa, Inc. NPPES

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

ECLC WAKE FOREST VILLA, INC. (NPI 1619225570) is a healthcare organization registered as a custodial care facility in Costa Mesa, California and active in the NPI registry since August 2012. The organization lists Angelita Franco David, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619225570
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameECLC WAKE FOREST VILLA, INC.
Location Address233 WAKE FOREST RD.Costa Mesa, CA 92626-6446
Mailing Address233 Wake Forest Rd.Costa Mesa, CA 92626-6446 · (714) 434-9489 · Fax (949) 642-0622
Fax(949) 642-0622
Organization SubpartNo
Authorized OfficialAngelita Franco DavidAdministrator · (714) 434-9489
Enumeration DateAugust 27, 2012
NPI 1619225570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in CA · 306001960
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
233 WAKE FOREST RD., Costa Mesa, CA 92626

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 Eclc Wake Forest Villa, Inc.'s NPI number?

The NPI number for Eclc Wake Forest Villa, Inc. is 1619225570. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Eclc Wake Forest Villa, Inc. located?

Eclc Wake Forest Villa, Inc. is located at 233 Wake Forest Rd., Costa Mesa, CA 92626. The listed phone number is (714) 434-9489.

What is Eclc Wake Forest Villa, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Eclc Wake Forest Villa, Inc. was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.