Eclc Wake Forest Villa, Inc.
NPI 1619225570 · Custodial Care Facility · Costa Mesa, CA
Eclc Wake Forest Villa, Inc. is a Custodial Care Facility organization in Costa Mesa, CA (NPI 1619225570).
Provider details
- NPI number
- 1619225570
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Angelita David, Administrator(714) 434-9489
- License
- 306001960 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-08-27
- Last updated
- 2012-08-27
Frequently asked questions
- What is Eclc Wake Forest Villa, Inc.'s NPI number?
- Eclc Wake Forest Villa, Inc.'s National Provider Identifier (NPI) is 1619225570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eclc Wake Forest Villa, Inc.?
- Eclc Wake Forest Villa, Inc. is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Eclc Wake Forest Villa, Inc. located?
- Eclc Wake Forest Villa, Inc.'s practice location on file with NPPES is 233 Wake Forest Rd., Costa Mesa, CA 92626-6446.
- What is Eclc Wake Forest Villa, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eclc Wake Forest Villa, Inc. is (714) 434-9489.
- Who is the authorized official for Eclc Wake Forest Villa, Inc.?
- The authorized official listed on Eclc Wake Forest Villa, Inc.'s NPPES record is Angelita David, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eclc Wake Forest Villa, Inc.'s NPI active?
- Yes — Eclc Wake Forest Villa, Inc.'s NPI (1619225570) is active in the NPPES registry as of the last update on 2012-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.