320 North Crawford Avenue Operations LLC
Organization Active NPI Skilled Nursing Facility · Willows, CA
NPI 1124684378 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1124684378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 320 NORTH CRAWFORD AVENUE OPERATIONS LLC
- Practice address
- 320 N Crawford St
Willows, CA 95988-2326 - Phone
- (530) 934-8234
- NPI assigned
- May 14, 2019
- Organization subpart
- No
Authorized official
- Name
- Michael T Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Owners & managing parties with NPI records 1
-
Jared Daniel Garrison, D.O.
Facilities with the same owner 45
Affiliated clinicians 1
-
Jared Daniel Garrison, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Willows Post Acute
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1982
- Medicare certification status
- Active
- Certified beds
- 79 · 69.8 residents per day on average
- Chain
- Genesis Healthcare
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0874560 | Willows Post Acute | Certificate of waiver | Aug 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 555151
- Legal name
- 320 NORTH CRAWFORD AVENUE OPERATIONS LLC
- Doing business as
- WILLOWS POST ACUTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1982
- Last certification
- Apr 3, 2025
- Beds
- 79
- Ownership / control type
- Corporation
- Multi-facility organization
- NewGen
- Most recent change of ownership
- Apr 1, 2020
- Organization structure
- LLC
- Enrollment address
- 320 N Crawford St
Willows, CA 95988-2326 - Nursing home name
- WILLOWS POST ACUTE
- Affiliated entity
- GENESIS HEALTHCARE
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| 9560 Pico LLC |
5% Or Greater Indirect Ownership Interest | Aug 17, 2024 | 50% |
| Adp of the SNF | Aug 16, 2024 | ||
| Jared D Garrison |
Operational/Managerial Control | Dec 9, 2009 | |
| Adp of the SNF | Dec 3, 2009 | ||
| 320 North Crawford Ave Property LLC |
Adp of the SNF | Feb 1, 2020 | |
| Pico Ar LLC |
5% Or Greater Indirect Ownership Interest | Aug 17, 2024 | 50% |
| Adp of the SNF | Aug 16, 2024 | ||
| Newgen LLC |
5% Or Greater Indirect Ownership Interest | Aug 16, 2024 | 100% |
| Adp of the SNF | Aug 16, 2024 | ||
| Avrohom L Tress |
5% Or Greater Indirect Ownership Interest | Aug 16, 2024 | 50% |
| Corporate Officer |
Feb 1, 2020 | ||
| Adp of the SNF | Aug 16, 2024 | ||
| Pamela Shaw |
Operational/Managerial Control | Jun 30, 2023 | |
| Adp of the SNF | Jun 30, 2023 | ||
| Joseph G Colcol |
Operational/Managerial Control | Sep 9, 2019 | |
| Adp of the SNF | Sep 9, 2019 | ||
| Bold Quail 3 Realty Holdings, LLC |
Adp of the SNF | Aug 17, 2024 | |
| Bold Quail 3, LLC |
5% Or Greater Indirect Ownership Interest | Aug 16, 2024 | 100% |
| Aaron H Robin |
5% Or Greater Indirect Ownership Interest | Aug 16, 2024 | 50% |
| Corporate Officer |
Feb 1, 2020 | ||
| Adp of the SNF | Aug 16, 2024 | ||
| Bold Quail 3 Operations Holdings, LLC |
5% Or Greater Direct Ownership Interest | Aug 16, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200826000083 | CA | Part a Provider - Skilled Nursing Facility | 9436589926 | Practice locations: Willows, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
320 N Crawford St
Willows, CA 95988-2326
Mailing address
320 N Crawford St
Willows, CA 95988-2326
Other names
- Willows Post Acute
Other providers in Willows, CA
All providers in Willows, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.