NPIMap

Organization Active NPI

River Bend Holdings, LLC

  • Skilled Nursing Facility
  • West Sacramento, CA
National Provider Identifier
1497228266
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVER BEND HOLDINGS, LLC
Practice address
2215 Oakmont Way
West Sacramento, CA 95691-3022
Phone
(916) 371-1890
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Richard Martin
Title
Member
Phone
(916) 422-4825

Specialties & licenses 1

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

Addresses

Primary practice location

2215 Oakmont Way
West Sacramento, CA 95691-3022

Mailing address

2215 Oakmont Way
West Sacramento, CA 95691-3022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190305001565 CA Part A Provider - Skilled Nursing Facility 7810236148 Practice locations: West Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497228266. Details of each certification follow.

Skilled nursing facility certification: CCN 055887

Legal name
RIVER BEND HOLDINGS, LLC
Doing business as
RIVER BEND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 8, 1968
Last certification
Aug 22, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 15, 2018 in CA
Enrollment address
2215 Oakmont Way
West Sacramento, CA 95691-3022
Nursing home name
RIVER BEND NURSING CENTER
Affiliated entity
BVHC, LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
River Bend Nursing CenterCCN 055887 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 8, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9989.9 residents per day on average
Chain
BVHC, LLC12 facilities in the chain
Penalties (3 years)
2Fines totaling $21,879

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
BVHC, LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Nischal Thapa Individual Operational/Managerial Control Aug 6, 2024
Adp of the SNF Aug 6, 2024
Redentor Batin Calabazaron Individual Operational/Managerial Control Feb 14, 2022
Adp of the SNF Feb 14, 2022
Bryan Boehrer Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 50%
Ravi Chinthakindi Individual Operational/Managerial Control Jan 30, 2024
Adp of the SNF Jan 30, 2024
Suzanne Brazier Individual Operational/Managerial Control Dec 12, 2022
Adp of the SNF Dec 12, 2022
Sean Van Wagenen Individual Operational/Managerial Control Aug 19, 2024
Adp of the SNF Aug 19, 2024
Richard Martin Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2018 50%
Darlene Mays Individual Operational/Managerial Control Apr 18, 2022
Adp of the SNF Apr 18, 2022

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 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1497228266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 OAKMONT WAY",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 OAKMONT WAY",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913022",
            "telephone_number": "916-371-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER BEND HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "916-422-4825"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.