NPIMap

Organization Active NPI

Reedley Skilled Care LLC

  • Skilled Nursing Facility
  • Reedley, CA
National Provider Identifier
1144933714
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REEDLEY SKILLED CARE LLC
Practice address
1090 E Dinuba Ave
Reedley, CA 93654-3577
Phone
(559) 638-3577
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Scott Kirby
Title
Manager
Phone
(619) 201-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1090 E Dinuba Ave
Reedley, CA 93654-3577

Mailing address

1817 Avenida del Diablo
Escondido, CA 92029-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114001668 CA Part A Provider - Skilled Nursing Facility 9931556867 Practice locations: Reedley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144933714. Details of each certification follow.

Skilled nursing facility certification: CCN 055799

Legal name
REEDLEY SKILLED CARE LLC
Doing business as
VINEYARD CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1973
Last certification
Feb 24, 2025
Beds
56
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Dec 1, 2022
Organization structure
LLCProprietary
Incorporated
Oct 12, 2022 in CA
Enrollment address
1090 E Dinuba Ave
Reedley, CA 93654-3577
Nursing home name
VINEYARD CARE CENTER
Affiliated entity
JERICHO CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vineyard Care CenterCCN 055799 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5651.5 residents per day on average
Chain
Jericho Care Group7 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
05D0588728Vineyard Care Center1090 E Dinuba Ave, Reedley, CA 93654Certificate of waiverNov 22, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Donald Adam Salow Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 24.5%
Benjamin T Carter Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 24.5%
Scott Kirby Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 51%
Jason Parrott Individual Corporate DirectorDirector of Finance Jan 30, 2023
Operational/Managerial Control Jan 30, 2023
Stephen M Grossman Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Bayshire LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 51%
Bayshire Central Valley LLC Organization, Escondido, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 100%
Roxanna Villegas Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Crystal Rose Dewalt Individual Operational/Managerial Control Mar 25, 2024
Adp of the SNF Mar 25, 2024
Stacy Sheehan Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1144933714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 E DINUBA AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936543577",
            "telephone_number": "559-638-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDLEY SKILLED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.