Northern California Retired Officers Community

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110000338 Issued in CA

Legal business name

NORTHERN CALIFORNIA RETIRED OFFICERS COMMUNITY

Doing business as

Laurel Creek Health Center

Practice address

2800 Estates Dr
Fairfield, CA 94533-9712

Phone

(707) 432-1200

Fax

(707) 426-1130

NPI assigned

Jul 12, 2006

Last updated

Jan 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecil F Ross

Title

Ceo

Phone

(707) 432-1100

Specialties & licenses 1

Addresses

Other names 1

• Laurel Creek Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679508162. Details of each certification follow.

• CCN 555727 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555727

Legal name

NORTHERN CALIFORNIA RETIRED OFFICERS COMMUNITY

Doing business as

LAUREL CREEK HEALTH CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jul 13, 1998

Last certification

Feb 14, 2025

Beds

60

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 9, 1992 in CA

Enrollment address

2800 Estates Dr
Fairfield, CA 94533-9712

Nursing home name

LAUREL CREEK HEALTH CENTER

Listed as

Laurel Creek Health CenterCCN 555727 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jul 13, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6033.4 residents per day on average

Penalties (3 years)

1Fines totaling $35,493

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Edward Isadore Levin, MD

  • Urology Physician
  • Vacaville, CA
  • NPI 1710075536

  Corporate Director

  CMS ownership
• Teresa B Whitley, M.D.

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1760496764

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kathryn Amacher, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Vacaville, CA
  • NPI 1366545568

  Nursing home

  Care Compare affiliation
• Manveen Sekhon, MD

  • Family Medicine Physician
  • Napa, CA
  • NPI 1053505420

  Nursing home

  Care Compare affiliation
• Teresa B Whitley, M.D.

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1760496764

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1679508162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ESTATES DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945339711",
            "telephone_number": "707-432-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ESTATES DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945339712",
            "telephone_number": "707-432-1200",
            "fax_number": "707-426-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA RETIRED OFFICERS COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-432-1100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "110000338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Creek Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northbay Healthcare Group (NorthBay Health Urgent Care)
• Northbay Healthcare Group (dba NorthBay Medical Center)
• Northbay Healthcare Group
• Northbay Medical Center Pharmacy
• Northern California Injury Centers Inc.
• Tahira M Norwood Lewis
• Marcelle Nory MC Cutchan
• Irina Nosovsky, FNP
• Haley Novarina
• Charlene Paleguin Noveras

• Skilled Nursing Facility in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.