NPIMap

Organization Active NPI

Pitaya Healthcare LLC

Doing business as Orchard Post Acute Care

  • Skilled Nursing Facility
  • Vacaville, CA
National Provider Identifier
1235823550
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PITAYA HEALTHCARE LLC
Doing business as
Orchard Post Acute Care
Practice address
101 S Orchard Ave
Vacaville, CA 95688-3635
Phone
(707) 448-6458
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Joseph Niccoli
Title
Managing Partner
Phone
(707) 449-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

101 S Orchard Ave
Vacaville, CA 95688-3635

Mailing address

101 S Orchard Ave
Vacaville, CA 95688-3635
Phone (707) 448-6458

Other names 1

  • Orchard Post Acute Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230817001866 CA Part A Provider - Skilled Nursing Facility 5193187417 Practice locations: Vacaville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235823550. Details of each certification follow.

Skilled nursing facility certification: CCN 055412

Legal name
PITAYA HEALTHCARE LLC
Doing business as
VACAVILLE RANCH POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1980
Last certification
Dec 13, 2024
Beds
87
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Dec 29, 2022 in CA
Enrollment address
101 S Orchard Ave
Vacaville, CA 95688-3635
Nursing home name
VACAVILLE RANCH POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vacaville Ranch Post AcuteCCN 055412 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8768.7 residents per day on average
Penalties (3 years)
7Fines totaling $127,689

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Joseph Martin Niccoli Individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 50%
Corporate OfficerManager Feb 1, 2023
Aaron Edmonds Individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 50%
Corporate OfficerManager Feb 1, 2023
W-2 Managing Employee Feb 1, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1235823550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S ORCHARD AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883635",
            "telephone_number": "707-448-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S ORCHARD AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883635",
            "telephone_number": "707-448-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITAYA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "NICCOLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "707-449-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Post Acute Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.