Active NPI
Richmond Post Acute Care, LLC.
- Skilled Nursing Facility
- Richmond, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RICHMOND POST ACUTE CARE, LLC.
- Practice address
- 955 23Rd St
Richmond, CA 94804-1250 - Phone
- (510) 237-5182
- NPI assigned
- Mar 19, 2019
- Last updated
- Aug 10, 2020
- 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
- Darrell Price
- Title
- Managing Member
- Phone
- (916) 212-0275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
955 23Rd St
Richmond, CA 94804-1250
Mailing address
955 23Rd St
Richmond, CA 94804-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140000141 | Other | CA | CDPH LICENSE NUMBER |
Other names 2
- Richmond Post Acute Care, LLC.
- Richmond Post Acute Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://drive.google.com/drive/u/0/my-drive | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190429002314 | CA | Part A Provider - Skilled Nursing Facility | 6305188087 | Practice locations: Richmond, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821557620. Details of each certification follow.
Skilled nursing facility certification: CCN 555735
- Legal name
- RICHMOND POST ACUTE CARE, LLC
- Doing business as
- RICHMOND POST ACUTE CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 16, 1999
- Last certification
- Jan 16, 2025
- Beds
- 35
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Apr 1, 2019
- Organization structure
- LLC
- Incorporated
- Mar 13, 2019 in CA
- Enrollment address
- 955 23Rd St
Richmond, CA 94804-1250 - Nursing home name
- RICHMOND POST ACUTE CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Richmond Post Acute Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 16, 1999
- Medicare certification status
- Active
- Certified beds
- 35
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryLocations
955 23rd St
Richmond, CA 94804
Phone (510) 237-5182
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| 955 23Rd Street LLC | Adp of the SNF | Mar 19, 2019 | |
| Andrew CHI-Wei NG | Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| Edgar Basbas | Operational/Managerial Control | Apr 1, 2019 | |
| Adp of the SNF | Apr 1, 2019 | ||
| James Jordan | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 51% |
| Corporate Officer | Apr 1, 2019 | ||
| Operational/Managerial Control | Apr 1, 2019 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Sandra Gonzalez | Operational/Managerial Control | Oct 1, 2019 | |
| Adp of the SNF | Oct 1, 2019 | ||
| Yolanda Weldon | Operational/Managerial Control | Jan 13, 2025 | |
| Adp of the SNF | Jan 13, 2025 | ||
| Darrell Price | 5% Or Greater Indirect Ownership Interest | Apr 1, 2019 | 49% |
| Corporate Officer | Apr 1, 2019 | ||
| Operational/Managerial Control | Apr 1, 2019 | ||
| Adp of the SNF | Apr 1, 2019 | ||
| Roel Fernandez | Operational/Managerial Control | Jun 12, 2020 | |
| Adp of the SNF | Jun 12, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Millbrae, CA
- NPI 1871716910
Adp of the SNF, Operational/Managerial 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": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1821557620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 23RD ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948041250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 23RD ST",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948041250",
"telephone_number": "510-237-5182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND POST ACUTE CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "916-212-0275"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPH LICENSE NUMBER",
"identifier": "140000141",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://drive.google.com/drive/u/0/my-drive",
"affiliation": "N",
"endpointDescription": "Richmond PA Google Drive",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "955 23rd St",
"city": "Richmond",
"state": "CA",
"country_code": "US",
"postal_code": "948041250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Richmond Post Acute Care, LLC.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Richmond Post Acute Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.