Active NPI
14766 Washington Avenue Operations LLC
Doing business as Washington Center
- Skilled Nursing Facility
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 020000260
- Legal business name
- 14766 WASHINGTON AVENUE OPERATIONS LLC
- Doing business as
- Washington Center
- Practice address
- 14766 Washington Ave
San Leandro, CA 94578-4220 - Phone
- (510) 352-2211
- Fax
- (510) 352-2181
- NPI assigned
- May 28, 2006
- Last updated
- Mar 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George V Hager
- Title
- President Director
- Phone
- (505) 821-3355
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 020000260 | CA | |
| Skilled Nursing Facility | 314000000X | 020000260 | CA | Primary |
Addresses
Primary practice location
14766 Washington Ave
San Leandro, CA 94578-4220
Mailing address
101 E State St
Compliance Department
Kennett Square, PA 19348-3109
Phone (505) 468-4742
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850370802 | Other | CA | HEALTH NET FLEX BENEFITS |
| 850370802 | Other | CA | KASIER |
| ZZR06121I | Medicaid | CA | |
| 850370802 | Other | CA | HEARTLAND HOSPICE |
| 850370802 | Other | CA | VNA HOSPICE |
| 850370802 | Other | CA | UTA/HUMANA |
| 850370802 | Other | CA | UNITED AMERICAN INS CO. |
| 850370802 | Other | CA | AAARP |
Other names 1
- Washington Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140404001554 | CA | Part A Provider - Skilled Nursing Facility | 6901038900 | Practice locations: San Leandro, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306893904. Details of each certification follow.
Skilled nursing facility certification: CCN 056121
- Legal name
- 14766 WASHINGTON AVENUE OPERATIONS LLC
- Doing business as
- WASHINGTON CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1974
- Last certification
- Nov 7, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Bold Quail 3 Operations Holdings, LLC
- Most recent change of ownership
- Jan 21, 2014
- Organization structure
- LLC
- Incorporated
- Dec 12, 2012 in CA
- Enrollment address
- 14766 Washington Avenue
Washington Center
San Leandro, CA 94578-4220 - Nursing home name
- WASHINGTON CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Washington Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1974
- Medicare certification status
- Active
- Certified beds
- 99
- Chain
- Genesis Healthcare
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Columbia Crest Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1982651758
Member Of
Locations
81 Chatham St
Worcester, MA 01609
Phone (508) 754-3276
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 14.69% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Oct 1, 2021 | |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Pamela Shaw | W-2 Managing Employee | Aug 16, 2024 | |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 25.75% |
| GHC Holdings II LLC | 5% Or Greater Direct Ownership Interest | Dec 1, 2012 | 100% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 17.38% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 8.46% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 11.02% |
| Michael T Berg | Corporate Officer | Mar 2, 2015 | |
| Operational/Managerial Control | Dec 1, 2012 | ||
| Jamie L Zurn | W-2 Managing Employee | Oct 1, 2021 | |
| Welltower Inc | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 5.7% |
| Sunbridge Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2013 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Merry Wood Lodge
- Skilled Nursing Facility
- Elmore, AL
- NPI 1104876226
5% Or Greater Indirect Ownership Interest
-
dba Cottage of the Shoals
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1285685362
5% Or Greater Indirect Ownership Interest
-
dba Cypress Cove Center
- Skilled Nursing Facility
- Muscle Shoals, AL
- NPI 1346291176
5% Or Greater Indirect Ownership Interest
-
dba Lake Ridge Solana Alzheimer's Care Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1568402295
5% Or Greater Indirect Ownership Interest
-
dba Keller Landing
- Skilled Nursing Facility
- Tuscumbia, AL
- NPI 1750331906
5% Or Greater Indirect Ownership Interest
-
dba River City Center
- Skilled Nursing Facility
- Decatur, AL
- NPI 1760432652
5% Or Greater Indirect Ownership Interest
-
dba Columbia Crest Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1982651758
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 177
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Brier Oak on Sunset
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1396721932
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Fountain View Subacute and Nursing Center
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1194767871
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Montebello Care Center
- Skilled Nursing Facility
- Montebello, CA
- NPI 1447225438
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc
-
dba Rio Hondo Subacute & Nursing Center
- Skilled Nursing Facility
- Montebello, CA
- NPI 1902896301
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc
-
dba Sharon Care Center
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1487645214
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, Sun Healthcare Group Inc
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Grandview Center
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Dallastown Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Jersey Shore Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
-
dba Heritage Center
- Skilled Nursing Facility
- Huntington, WV
- NPI 1912181223
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Zac Properties XI LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Lowell, MA
- NPI 1841367182
-
- Physical Therapist
- Lowell, MA
- NPI 1093835738
-
- Family Medicine Physician
- Leeds, MA
- NPI 1083682082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395100800000",
"number": "1306893904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"address_2": "COMPLIANCE DEPARTMENT",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "505-468-4742",
"fax_number": "505-468-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14766 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945784220",
"telephone_number": "510-352-2211",
"fax_number": "510-352-2181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "14766 WASHINGTON AVENUE OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2014-03-18",
"status": "A",
"authorized_official_last_name": "HAGER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "505-821-3355"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "CA",
"license": "020000260",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "020000260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FLEX BENEFITS",
"identifier": "850370802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KASIER",
"identifier": "850370802",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR06121I",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARTLAND HOSPICE",
"identifier": "850370802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VNA HOSPICE",
"identifier": "850370802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTA/HUMANA",
"identifier": "850370802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED AMERICAN INS CO.",
"identifier": "850370802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAARP",
"identifier": "850370802",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.