VETERANS HOME OF CALIFORNIA (NPI# 1477707396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477707396 |
| Entity Type | Organization |
| Organization Name | VETERANS HOME OF CALIFORNIA |
| Other Organization Name | VETERANS HOME OF CALIFORNIA-YOUNTVILLE |
| Practice Address |
100 California Dr Yountville CA 94599-1411 |
| Mailing Address |
Po Box 942895 Sacramento CA 94295-0001 |
| Practice Telephone | 7079444716 |
| Practice Fax Number | 7079445052 |
| Mailing Telephone | 9166579349 |
| Mailing Fax Number | 9166531795 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | MR. DONALD L. VERERKA (ADMINISTRATOR) |
| Authorized Official Telephone | 7079444501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 150000494 | CA | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 150000494 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | DA1272 | 01 |
| Other Name | Type Code |
|---|---|
| Veterans Home of California-Yountville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843167 | Veterans Home of California | Pharmacy | 123 California Drive, Yountville, CA 94599 | 2007-07-12 |
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| 1609011618 | Veterans Home of California | Clinic/Center | 100 California Dr, Yountville, CA 94599-1411 | 2008-12-04 |
| 1710131602 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1922252840 | Veterans Home of California | Military Hospital | 100 California Dr, Medical Staff Office, Yountville, CA 94599-1411 | 2008-11-05 |
| 1831343755 | Veterans Home of California | Skilled Nursing Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1740434661 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1568616480 | Veterans Home of California | Military Hospital | 100 California Dr, Medical Staff Office, Yountville, CA 94599-1411 | 2008-11-05 |
| 1386898203 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA - FRESNO | 2811 W California Ave, Fresno, CA 93706-2306 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA BARSTOW | 100 E Veterans Pkwy, Barstow, CA 92311-7003 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA, YOUNTVILLE | 100 California Dr, Yountville, CA 94599-1411 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA- VENTURA | 10900 Telephone Rd, Ventura, CA 93004-1870 |
| Street Address |
100 CALIFORNIA DR |
| City | YOUNTVILLE |
| State | CA |
| Zip Code | 94599-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| 1851911697 | Brandi M. Brown | Nurse Practitioner | 100 California Dr, Yountville, CA 94599-1411 | 2020-04-22 |
| 1528615655 | William Edward Dillon | Physical Therapy Assistant | 100 California Dr, Yountville, CA 94599-1411 | 2019-08-22 |
| 1194114025 | Laurie Joyce | Occupational Therapist | 100 California Dr, Rehabilitation Services, Yountville, CA 94599-1411 | 2015-01-15 |
| 1700286689 | Jolene Jow | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-08-28 |
| 1619380649 | Rebecca Bengle Dela Paz | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-06-06 |
| 1063825099 | Alesha Forner | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2014-06-06 |
| 1174964555 | Karla Goplen | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-07-12 |
| 1356782734 | Karen Bergold | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-07-12 |
| 1487997441 | Leann Alice Miller | Dietitian, Registered | 100 California Dr, Yountville, CA 94599-1411 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386843167 | Veterans Home of California | Pharmacy | 123 California Drive, Yountville, CA 94599 | 2007-07-12 |
| 1215579511 | James David Vye Jr. | Physical Therapist | 1897 Hopper Way, Yountville, CA 94599-1212 | 2019-10-09 |
| 1215249875 | Boyd Patrick Dennington | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2010-07-11 |
| 1730522517 | Robert Roy Hampton IIi | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2013-04-11 |
| 1578928701 | Kimberly De Luna | Pharmacist | 123 California Dr, Yountville, CA 94599-1411 | 2015-12-14 |
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| Find all providers in zip 94599 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831343755 | Veterans Home of California | Skilled Nursing Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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| City | YOUNTVILLE |
| Zip Code | 94599 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.