OrganizationActive
Eastlake Villa Inc
NPI 1104681600 · Assisted Living Facility · Watsonville, CA
Eastlake Villa Inc is a Assisted Living Facility organization in Watsonville, CA (NPI 1104681600).
Provider details
- NPI number
- 1104681600
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dexlier Go, Administrator(213) 400-4341
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
591 Arlene Dr
Watsonville, CA 95076-3518
Phone: (831) 228-1207
Fax: (831) 851-0080
Street-level locationGet directions
Mailing address
591 Arlene Dr
Watsonville, CA 95076-3518
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Frequently asked questions
- What is Eastlake Villa Inc's NPI number?
- Eastlake Villa Inc's National Provider Identifier (NPI) is 1104681600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastlake Villa Inc?
- Eastlake Villa Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Eastlake Villa Inc located?
- Eastlake Villa Inc's practice location on file with NPPES is 591 Arlene Dr, Watsonville, CA 95076-3518.
- What is Eastlake Villa Inc's phone number?
- The practice phone number listed in the NPPES registry for Eastlake Villa Inc is (831) 228-1207.
- Who is the authorized official for Eastlake Villa Inc?
- The authorized official listed on Eastlake Villa Inc's NPPES record is Dexlier Go, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastlake Villa Inc's NPI active?
- Yes — Eastlake Villa Inc's NPI (1104681600) is active in the NPPES registry as of the last update on 2024-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.