1527 Springs Road LLC
Organization Active NPI Skilled Nursing Facility · Vallejo, CA
NPI 1831811207 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1831811207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 1527 SPRINGS ROAD LLC
- Practice address
- 1527 Springs Rd
Vallejo, CA 94591-5448 - Phone
- (707) 643-2793
- NPI assigned
- Sep 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Richard Martin
- Title
- Manager
- Phone
- (707) 643-2793
Owners & managing parties with NPI records 1
Facilities with the same owner 10
Medicare Care Compare: Nursing home
- Listed as
- Springs Road Healthcare
- 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
- For profit - Corporation
- Certified
- Jan 1, 1974
- Medicare certification status
- Active
- Certified beds
- 65 · 60.1 residents per day on average
- Chain
- BVHC, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 055222
- Legal name
- 1527 SPRINGS ROAD, LLC
- Doing business as
- SPRINGS ROAD HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1974
- Last certification
- Mar 13, 2025
- Beds
- 65
- Ownership / control type
- Corporation
- Multi-facility organization
- Buena Vista Healthcare
- Most recent change of ownership
- Feb 1, 2023
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1527 Springs Rd
Vallejo, CA 94591-5448 - Nursing home name
- SPRINGS ROAD HEALTHCARE
- Affiliated entity
- BVHC, LLC
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Princes Valerie Anierdes |
Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | Feb 1, 2023 | ||
| BVHC, LLC |
5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 100% |
| Nischal Thapa |
Operational/Managerial Control | Aug 6, 2024 | |
| Adp of the SNF | Aug 6, 2024 | ||
| Redentor Batin Calabazaron |
Operational/Managerial Control | Feb 14, 2022 | |
| Adp of the SNF | Feb 14, 2022 | ||
| Bryan Boehrer |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 50% |
| Connor Airey |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 1, 2024 | ||
| Gurpreet Dhugga |
Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Desire Espinoza |
Operational/Managerial Control | Feb 18, 2025 | |
| Adp of the SNF | Feb 18, 2025 | ||
| Richard Martin |
5% Or Greater Indirect Ownership Interest | Feb 1, 2023 | 50% |
| Edgar Secena |
Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | Feb 1, 2023 | ||
| Francia Ballesteros |
Operational/Managerial Control | Feb 1, 2023 | |
| Adp of the SNF | Feb 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230907003290 | CA | Part a Provider - Skilled Nursing Facility | 0244694354 | Practice locations: Vallejo, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1527 Springs Rd
Vallejo, CA 94591-5448
Mailing address
4747 Viewridge Ave Ste 105
San Diego, CA 92123-1688
Phone (619) 402-3044
Other providers in Vallejo, CA
All providers in Vallejo, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.