NPIMap

Organization Active NPI

320 North Crawford Avenue Operations LLC

Doing business as Willows Post Acute

  • Skilled Nursing Facility
  • Willows, CA
National Provider Identifier
1124684378
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
320 NORTH CRAWFORD AVENUE OPERATIONS LLC
Doing business as
Willows Post Acute
Practice address
320 N Crawford St
Willows, CA 95988-2326
Phone
(530) 934-8234
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael T Berg
Title
Assistant Secretary
Phone
(505) 468-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

320 N Crawford St
Willows, CA 95988-2326

Mailing address

320 N Crawford St
Willows, CA 95988-2326

Other names 1

  • Willows Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000083 CA Part A Provider - Skilled Nursing Facility 9436589926 Practice locations: Willows, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124684378. Details of each certification follow.

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willows Post AcuteCCN 555151 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
7969.8 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0874560Willows Post Acute320 North Crawford, Willows, CA 95988Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 17, 2024 50%
Adp of the SNF Aug 16, 2024
Jared D Garrison Individual Operational/Managerial Control Dec 9, 2009
Adp of the SNF Dec 3, 2009
320 North Crawford Ave Property LLC Organization, Los Angeles, CA LLC Adp of the SNF Feb 1, 2020
Pico Ar LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 17, 2024 50%
Adp of the SNF Aug 16, 2024
Newgen LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2024 100%
Adp of the SNF Aug 16, 2024
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2024 50%
Corporate OfficerVP, Asst Secretary, Asst Treasurer Feb 1, 2020
Adp of the SNF Aug 16, 2024
Pamela Shaw Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Joseph G Colcol Individual Operational/Managerial Control Sep 9, 2019
Adp of the SNF Sep 9, 2019
Bold Quail 3 Realty Holdings, LLC Organization, Los Angeles, CA LLC, Holding company Adp of the SNF Aug 17, 2024
Bold Quail 3, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 16, 2024 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Aug 16, 2024 50%
Corporate OfficerPresident Feb 1, 2020
Adp of the SNF Aug 16, 2024
Bold Quail 3 Operations Holdings, LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 16, 2024 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1124684378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N CRAWFORD ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N CRAWFORD ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882326",
            "telephone_number": "530-934-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "320 NORTH CRAWFORD AVENUE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willows Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willows, CA

Sources for this page

Verify at the official NPI Registry.