NPIMap

Organization Active NPI

Windsor Vallejo Care Center, LLC

Doing business as Windsor Vallejo Care Center

  • Skilled Nursing Facility
  • Vallejo, CA
National Provider Identifier
1285770669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WINDSOR VALLEJO CARE CENTER, LLC
Doing business as
Windsor Vallejo Care Center
Practice address
2200 Tuolumne St
Vallejo, CA 94589-2523
Phone
(707) 644-7401
Fax
(707) 558-8165
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lawrence Fiegen
Title
Chief Operating Officer
Phone
(310) 385-1090

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Tuolumne St
Vallejo, CA 94589-2523

Mailing address

2200 Tuolumne St
Vallejo, CA 94589-2523
Phone (707) 644-7401

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06238IMedicaidCA

Other names 1

  • Windsor Vallejo Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070725000050 CA Part A Provider - Skilled Nursing Facility 8820199599 Practice locations: Vallejo, CA

Skilled nursing facility certification: CCN 056238

Legal name
WINDSOR VALLEJO CARE CENTER, LLC
Doing business as
SOLANO POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 29, 1970
Last certification
Dec 5, 2024
Beds
166
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Windsor Norcal 13 Holdings LLC
Organization structure
LLCProprietary
Incorporated
Jan 4, 2007 in DE
Enrollment address
2200 Tuolumne St
Vallejo, CA 94589-2523
Nursing home name
SOLANO POST ACUTE
Affiliated entity
WINDSOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Solano Post AcuteCCN 056238 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 29, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
166154.4 residents per day on average
Chain
Windsor22 facilities in the chain
Penalties (3 years)
2Fines totaling $73,177

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Okey Onyeagucha Individual Operational/Managerial Control May 16, 2023
Adp of the SNF Jun 16, 2023
9560 Pico LLC Organization, Los Angeles, CA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Pico Ar LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC Operational/Managerial Control Jun 30, 2023
Adp of the SNF Apr 23, 2025
Antelope Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Antelope Realty Holdings I, LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 29, 2024 100%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2022 50%
Corporate OfficerVice President Aug 14, 2023
Pamela Shaw Individual Operational/Managerial Control Jun 30, 2023
Adp of the SNF Jun 30, 2023
Windsor Norcal 13 Holdings LLC Organization, Los Angeles, CA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 4, 2007 100%
Aaron H Robin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident Aug 14, 2023
Mandakini Hersh Patel Individual Operational/Managerial Control Nov 15, 2024
Adp of the SNF Nov 15, 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 43

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

View all 43

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285770669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892523",
            "telephone_number": "707-644-7401",
            "fax_number": "707-558-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892523",
            "telephone_number": "707-644-7401",
            "fax_number": "707-558-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR VALLEJO CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIEGEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "310-385-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06238I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Vallejo Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.