CCW LA JOLLA, LLC
NPI 1972574507
Skilled Nursing Facility in San Diego, CA

Active since January 31, 2006
5/5
Overall Rating
4171 LAS PALMAS SQ, SAN DIEGO, CA 92122(858) 646-3400(858) 646-0064 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ccw La Jolla, Llc NPPES

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

CCW LA JOLLA, LLC (NPI 1972574507) is a healthcare organization registered as a skilled nursing facility in San Diego, California and active in the NPI registry since January 2006. The organization lists Tomek J Koszylko, Counsel, as its authorized official.

NPPES Registry Identity

NPI1972574507
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCW LA JOLLA, LLC
Location Address4171 LAS PALMAS SQSan Diego, CA 92122-6627
Mailing Address233 S Wacker Dr Ste 8400Chicago, IL 60606-6316 · (312) 803-8800
Fax(858) 646-0064
Organization SubpartNo
Authorized OfficialTomek J KoszylkoCounsel · (312) 803-8443
Enumeration DateJanuary 31, 2006
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1972574507 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 · 080000751
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.
4171 LAS PALMAS SQ, San Diego, CA 92122

Other Names 1

Other NameVi At La Jolla Village

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Vi At La Jolla Village (CMS certification number 555793), from CMS Care Compare.

Vi At La Jolla Village

Nursing home · San Diego, CA
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number555793
Certified Beds60 beds49 residents per day on average
Medicare & Medicaid Participant SinceJune 26, 2002
Resident & Family CouncilResident council
Continuing care retirement community 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.
2/5
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.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
14
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 3.51 · LPN 0.93 · RN 1.14
5.58 hrs per resident per day
Weekend Nurse Staffing
5.18 hrs per resident per day
Physical Therapist Staffing
0.21 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
36.3%
Registered Nurse Turnover
25%
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
2
Substantiated Complaints
0
Infection-Control Citations
0
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 7

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

Speech-Language Pathologist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Occupational Therapist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Physical Therapy Assistant
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Occupational Therapist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Occupational Therapist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Physical Therapist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122
Physical Therapist
4171 LAS PALMAS SQ
SAN DIEGO, CA 92122

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 Ccw La Jolla, LLC's NPI number?

The NPI number for Ccw La Jolla, LLC is 1972574507. It was assigned to this organization in the NPPES registry on January 31, 2006. The provider is also known as Vi at La Jolla Village.

Where is Ccw La Jolla, LLC located?

Ccw La Jolla, LLC is located at 4171 Las Palmas Sq, San Diego, CA 92122. The listed phone number is (858) 646-3400.

What is Ccw La Jolla, LLC's specialty?

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

Is Ccw La Jolla, LLC a Medicare-certified nursing home?

Yes. Vi At La Jolla Village is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Ccw La Jolla, LLC have?

CMS rates Vi At La Jolla Village 5 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 Ccw La Jolla, LLC was last updated on October 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.