VETERANS HOME OF CALIFORNIA (NPI# 1831343755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831343755 |
| 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 | 9166531796 |
| 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 | 314000000X | Skilled Nursing Facility | 150000494 | CA | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 150000494 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RADILROAD MEDICARE | DA1272 | 01 |
| Other Name | Type Code |
|---|---|
| Veterans Home of California-Yountville | Doing Business As Name - 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 |
| 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 |
| 1477707396 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, 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 | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| 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 |
| 1710131602 | Veterans Home of California | Nursing Facility/Intermediate Care 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 |
| 1477707396 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472707 | Hollywood Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 13307 Stagg St, North Hollywood, CA 91605-1736 | 2020-06-22 |
| 1154944510 | Encourage Homes Inc. | Nursing Facility/Intermediate Care Facility | 9227 Cayuga Ave, Sun Valley, CA 91352-9135 | 2020-05-20 |
| 1831722255 | Laurel House Icf | Nursing Facility/Intermediate Care Facility | 226 N Laurel Ave, Upland, CA 91786-5936 | 2020-02-13 |
| 1588295224 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 19640 Bermuda St, Chatsworth, CA 91311-1908 | 2020-01-31 |
| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
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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.