NPIMap

Organization Active NPI

Valley Pointeidence Opco, LLC

  • Skilled Nursing Facility
  • Castro Valley, CA
National Provider Identifier
1669859567
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLEY POINTEIDENCE OPCO, LLC
Practice address
20090 Stanton Ave
Castro Valley, CA 94546-5203
Phone
(510) 538-8464
NPI assigned
Apr 29, 2015
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 CA Primary

Addresses

Primary practice location

20090 Stanton Ave
Castro Valley, CA 94546-5203

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Valley Pointe Nursing & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150611001057 CA Part A Provider - Skilled Nursing Facility 2769703081 Practice locations: Castro Valley, CA

Skilled nursing facility certification: CCN 555082

Legal name
VALLEY POINTEIDENCE OPCO, LLC
Doing business as
VALLEY POINTE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 4, 1977
Last certification
Jan 26, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Post Acute Care Solutions (PACS)
Organization structure
LLCProprietary
Incorporated
Sep 25, 2014 in CA
Enrollment address
20090 Stanton Ave
Castro Valley, CA 94546-5203
Nursing home name
VALLEY POINTE NURSING & REHABILITATION CENTER
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Valley Pointe Nursing & Rehabilitation CenterCCN 555082
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 4, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5047.5 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $10,033

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Valley Pointe Nursing and Rehabilitation Center Inc2 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.

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
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2014 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
Robert S Pierce Individual W-2 Managing EmployeeAd; Sep 1, 2021
Providence Group North LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 20, 2015 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
Gurpreet Dhugga Individual Contracted Managing EmployeeMD; Dec 1, 2023
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%

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 80

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

View all 80

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1669859567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20090 STANTON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465203",
            "telephone_number": "510-538-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY POINTEIDENCE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pointe Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.