Coronado Ridge Skilled Nursing & Rehabilitation Center – Skilled Nursing Facility, NPI 1508303090

Coronado Ridge Skilled Nursing & Rehabilitation Center is a healthcare provider. based in Santa ana, California. specializing in Skilled Nursing Facility. The NPI Number for Coronado Ridge Skilled Nursing & Rehabilitation Center is 1508303090

Main info

Organization
Name
Coronado Ridge Skilled Nursing & Rehabilitation Center
NPI
1508303090
Phone
(714) 241-5600
Address
6 Hutton Centre Dr Ste 400
Authorized Official
THOMAS E OLDS JR. PRESIDENT
Enumeration Date
23 January 2017
Last Update Date
5 August 2024

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness90
Years active:9State licenses:0Updated within 12 months

Provider Addresses for Coronado Ridge Skilled Nursing & Rehabilitation Center

  • 6 Hutton Centre Dr Ste 400

    Santa Ana, CA 927078762

    Phone: (714) 241-5600

    Type: Location

  • 2855, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States

    HENDERSON, NV 890524394

    Phone: (702) 805-5050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20180212000921OSkilled Nursing FacilityNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92707)

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Reviews

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Frequently asked questions

Does Coronado Ridge Skilled Nursing & Rehabilitation Center have a public NPI I can cite?
Public records show Coronado Ridge Skilled Nursing & Rehabilitation Center under NPI 1508303090.
Does the public listing show Coronado Ridge Skilled Nursing & Rehabilitation Center as active?
Coronado Ridge Skilled Nursing & Rehabilitation Center's NPI record reflects an active status in NPPES.
What services align with Coronado Ridge Skilled Nursing & Rehabilitation Center's listing?
Coronado Ridge Skilled Nursing & Rehabilitation Center's public classification highlights Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Coronado Ridge Skilled Nursing & Rehabilitation Center?
Coronado Ridge Skilled Nursing & Rehabilitation Center is associated with Santa Ana, California in the same public data insurers reference.
Why is information missing for Coronado Ridge Skilled Nursing & Rehabilitation Center?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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