NPIMap

Organization Active NPI

Guava Holdings LLC

Doing business as Yuba City Post-Acute

  • Skilled Nursing Facility
  • Yuba City, CA
National Provider Identifier
1275923773
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000129 Issued in CA
Legal business name
GUAVA HOLDINGS LLC
Doing business as
Yuba City Post-Acute
Practice address
1220 Plumas St
Yuba City, CA 95991-3411
Phone
(530) 671-0550
NPI assigned
Feb 4, 2015
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000129 CA Primary

Addresses

Primary practice location

1220 Plumas St
Yuba City, CA 95991-3411

Mailing address

262 N University Ave Ste 200
Farmington, UT 84025-2975

Other names 1

  • Yuba City 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
O20150810000440 CA Part A Provider - Skilled Nursing Facility 2567776230 Practice locations: Yuba City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275923773. Details of each certification follow.

Skilled nursing facility certification: CCN 055092

Legal name
GUAVA HOLDINGS LLC
Doing business as
YUBA CITY POST-ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1968
Last certification
Aug 30, 2024
Beds
59
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 8, 2015 in DE
Enrollment address
1220 Plumas St
Yuba City, CA 95991-3411
Nursing home name
YUBA CITY POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Yuba City Post AcuteCCN 055092 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5954.5 residents per day on average
Chain
Pacs Group274 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
05D0874396Guava Holdings Dba Yuba City Post-Acute1220 Plumas St, Yuba City, CA 95991Certificate of waiverJul 13, 2028

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
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 5, 2021 100%
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Shailaja Vemulapalli Individual Contracted Managing EmployeeMD; Aug 9, 2022
Jorin Larsen Individual W-2 Managing EmployeeAd; Apr 3, 2023
Hudson River Opco LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Direct Ownership Interest Oct 1, 2019 100%
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Bay Bridge Capital Partners, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 16, 2015 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
Corporate OfficerDirector/Ceo Jan 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 81

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

View all 81

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1275923773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PLUMAS ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913411",
            "telephone_number": "530-671-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAVA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yuba City Post-Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.