NPIMap

Organization Active NPI

Veterans Home of California

  • Skilled Nursing Facility
  • Yountville, CA
National Provider Identifier
1104811751
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
150000494 Issued in CA
Legal business name
VETERANS HOME OF CALIFORNIA
Practice address
100 California Dr
Yountville, CA 94599-1411
Phone
(707) 944-4450
Fax
(707) 944-5052
NPI assigned
Sep 20, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Donald L. Veverka
Title
Administrator
Phone
(707) 944-4501

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 84

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 84

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Veterans Home of California - Yountville - SNFCCN 555095
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Aug 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
274162.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Skilled nursing facility certification: CCN 555095

Medicare enrollment files
Legal name
VETERANS HOME OF CALIFORNIA
Doing business as
VETERANS HOME OF CALIFORNIA - YOUNTVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1978
Last certification
Mar 7, 2025
Beds
274
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
100 California Dr
Yountville, CA 94599-1411
Nursing home name
VETERANS HOME OF CALIFORNIA - YOUNTVILLE - SNF

All disclosed owners & managing parties 4

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Timothy Kreisher Individual Corporate OfficerChief, VHC Accounting Office Nov 22, 2024
Jessica Koppes Individual Operational/Managerial Control May 23, 2025
Adp of the SNF May 23, 2025
Veterans Home of California Organization, Yountville, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 15, 2015 100%
Operational/Managerial Control Nov 15, 2015
Adp of the SNF Nov 15, 2015
John H Peters Individual Operational/Managerial Control Mar 1, 2020
Adp of the SNF Mar 1, 2020

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20031226000251 CA Part B Supplier - Clinic/Group Practice 5799683827 Receives reassigned benefits from 26 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yountville, CA
O20100303000439 CA Part a Provider - Skilled Nursing Facility 5799683827 5 other NPIs on this enrollment
Practice locations: Yountville, CA

National Provider Directory

National Provider Directory

Locations

220 California Dr
Ste 3E
Yountville, CA 94599
Phone (707) 944-4506

220 California Dr
Yountville, CA 94599
Phone (707) 944-4382

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 150000494 CA
Skilled Nursing Facility 314000000X 150000494 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

100 California Dr
Yountville, CA 94599-1411

Mailing address

PO Box 942895
Sacramento, CA 94295-0001
Phone (916) 657-9349

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
DA1272OtherCARAILROAD MEDICARE

Other names 1

NPPES NPI Registry
  • Veterans Home of California-Yountville Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2016.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1104811751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942895",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "942950001",
            "telephone_number": "916-657-9349",
            "fax_number": "916-653-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991411",
            "telephone_number": "707-944-4450",
            "fax_number": "707-944-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "VEVERKA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-944-4501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "150000494",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "150000494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1272",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Home of California-Yountville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yountville, CA

Sources for this page

Verify at the official NPI Registry.