NPIMap

Organization Active NPI

United Com-Serve

  • Skilled Nursing Facility
  • Yuba City, CA
National Provider Identifier
1477552164
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000176 Issued in CA
Legal business name
UNITED COM-SERVE
Practice address
1260 Williams Way
Yuba City, CA 95991-2400
Phone
(530) 790-3000
Fax
(530) 751-4894
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Mrs. Emma Nelson
Title
Administrator
Phone
(530) 790-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000176 CA Primary

Addresses

Primary practice location

1260 Williams Way
Yuba City, CA 95991-2400

Mailing address

1260 Williams Way
Yuba City, CA 95991-2400
Phone (530) 790-3000

Other identifiers 2

IdentifierTypeStateIssuer
D08602586OtherCAMED PT B CIGNA DME
LTC55430FMedicaidCA

Other names 1

  • THE FOUNTAINS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100226000337 CA Part A Provider - Skilled Nursing Facility 0840180444 Practice locations: Yuba City, CA

Skilled nursing facility certification: CCN 555430

Legal name
UNITED COM-SERVE
Doing business as
THE FOUNTAINS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 20, 1990
Last certification
Mar 20, 2025
Beds
145
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Adventist Health
Organization structure
CorporationNon-profit
Incorporated
Jun 4, 1985 in CA
Enrollment address
1260 Williams Way
Yuba City, CA 95991-2400
Nursing home name
FOUNTAINS, THE
Affiliated entity
ADVENTIST HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fountains, theCCN 555430
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
Non profit - Corporation
Certified
Aug 20, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
145122.1 residents per day on average
Chain
Adventist Health5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Fremont-Rideout Health Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

650 N Walton Ave
Yuba City, CA 95993
Phone (530) 673-7100

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
Richard Rawson Individual Corporate OfficerPresident May 24, 2018
Meredith S Jobe Individual Corporate Director Apr 1, 2018
Eduardo Gonzalez Individual Corporate OfficerFinance Executive / Treasurer May 24, 2018
The Fremont-Rideout Health Group Organization, Yuba City, CA Corporation 5% Or Greater Direct Ownership Interest Jun 19, 2006 100%
Richard K Reiner Individual Corporate Director Apr 1, 2018
Billy D Wing Individual Corporate Director Apr 1, 2018
Stone Point Health Organization, Roseville, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Daniel Osias Individual W-2 Managing Employee Jan 4, 2021
Larry L Innocent Individual Corporate Director Apr 1, 2018
Adventist Health System/West Organization, Roseville, CA Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1477552164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 WILLIAMS WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912400",
            "telephone_number": "530-790-3000",
            "fax_number": "530-751-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 WILLIAMS WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912400",
            "telephone_number": "530-790-3000",
            "fax_number": "530-751-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COM-SERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-790-3002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PT B CIGNA DME",
            "identifier": "D08602586",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55430F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FOUNTAINS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.