Organization Active NPI

Russian River Holdings LLC

  • Skilled Nursing Facility
  • Woodland, CA
National Provider Identifier
1922795293
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RUSSIAN RIVER HOLDINGS LLC
Practice address
124 Walnut St
Woodland, CA 95695-3137
Phone
(858) 798-5700
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Toby Tilford
Title
Manager
Phone
(858) 798-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

124 Walnut St
Woodland, CA 95695-3137

Mailing address

16544 Franzen Farm Rd
San Diego, CA 92127-2240
Phone (858) 798-5700

Other names 1

  • The Grove Post- Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907000887 CA Part A Provider - Skilled Nursing Facility 6608230875 Practice locations: Woodland, CA

Skilled nursing facility certification: CCN 055438

Legal name
RUSSIAN RIVER HOLDINGS LLC
Doing business as
THE GROVE POST-ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1978
Last certification
Mar 7, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Mar 15, 2023 in CA
Enrollment address
124 Walnut St
Woodland, CA 95695-3137
Nursing home name
THE GROVE POST-ACUTE
Affiliated entity
LINKS HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Grove Post-AcuteCCN 055438
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140125.0 residents per day on average
Chain
Links Healthcare Group32 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Mary Beardsley Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Chandandeep S Cheema Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Toby Tilford Individual 5% Or Greater Indirect Ownership Interest Jun 22, 2023 46.6%
Corporate OfficerManager Jun 22, 2023
Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Individual Indirect Ownership Interest Jun 22, 2023 2%
Individual Indirect Ownership Interest Jun 22, 2023 0.8%
Dawson Burrup Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Antonette D Frojelin Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Links Support Services, LLC Organization, San Diego, CA LLC Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 25, 2025
Organization, Salt Lake City, UT Adp of the SNF Jun 25, 2025
Victoria Bernholz Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Organization, North Hollywood, CA Adp of the SNF Jun 22, 2023
Melissa Carter Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Forbright Bank Organization, Chevy Chase, MD Financial institution 5% Or Greater Security Interest Jun 22, 2023 100%
Links Healthcare Group LLC Organization, San Diego, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 22, 2023 100%
Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 25, 2025
Ragen Stone Individual Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023
Individual Indirect Ownership Interest Jun 22, 2023 4%
Curtis Rodriguez Individual 5% Or Greater Indirect Ownership Interest Jun 22, 2023 46.6%
Corporate OfficerManager Jun 22, 2023
Operational/Managerial Control Jun 22, 2023
Adp of the SNF Jun 22, 2023

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 30

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

View all 30

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1922795293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16544 FRANZEN FARM RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272240",
            "telephone_number": "858-798-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WALNUT ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953137",
            "telephone_number": "858-798-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSIAN RIVER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "TILFORD",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-798-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Post- Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.