WILLOW CREEK HEALTHCARE CENTER
NPI 1003861089
Skilled Nursing Facility in Clovis, CA

Active since May 24, 2006CLIA 05D0910032 · Waiver
650 W ALLUVIAL AVE, CLOVIS, CA 93611(559) 323-6200(559) 323-4665 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Willow Creek Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW CREEK HEALTHCARE CENTER (NPI 1003861089) is a healthcare organization registered as a skilled nursing facility in Clovis, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1003861089
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW CREEK HEALTHCARE CENTER, LLC
Location Address650 W ALLUVIAL AVEClovis, CA 93611-6716
Mailing Address650 W Alluvial AveClovis, CA 93611-6716 · (559) 323-6200 · Fax (559) 323-4665
Fax(559) 323-4665
Organization SubpartYesParent: Summit Care Llc
Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752
Enumeration DateMay 24, 2006
Last NPPES UpdateFebruary 1, 2016
NPI 1003861089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 040000418
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

650 W ALLUVIAL AVE, Clovis, CA 93611

Other Names 1

Doing Business AsWillow Creek Healthcare Center

Other Identifiers 2

Medicare OSCAR/certification555652CA
MedicaidLTC55652GCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0910032

Willow Creek Health Care Center · Clovis, CA
Active · expires Dec 23, 2027
CLIA Number05D0910032
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorPawan Sood
Laboratory Phone(559) 323-6200
Laboratory LocationWillow Creek Health Care Center650 West Alluvial, Clovis, CA 93611
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Physical Therapy Assistant
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Physical Therapist
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Occupational Therapy Assistant
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Physical Therapy Assistant
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Occupational Therapist
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Physical Therapist
650 W ALLUVIAL AVE
CLOVIS, CA 93611
Specialist
650 W ALLUVIAL AVE
CLOVIS, CA 93611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003861089, enumerated as an "organization" on May 24, 2006.

The provider is located at 650 W ALLUVIAL AVE CLOVIS, CA 93611 and the phone number is (559) 323-6200.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.