SPRINGS ROAD HEALTHCARE
NPI 1023066966
Skilled Nursing Facility in Vallejo, CA

Active since May 04, 2006CLIA 05D0705760 · Waiver
1527 SPRINGS RD, VALLEJO, CA 94591(707) 643-2793(707) 554-2876 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2017, Dec 27, 2016 (2 updates tracked since 2016).

About Springs Road Healthcare NPPES

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

SPRINGS ROAD HEALTHCARE (NPI 1023066966) is a healthcare organization registered as a skilled nursing facility in Vallejo, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Brent Weil, Manager, as its authorized official.

NPPES Registry Identity

NPI1023066966
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN AT SPRINGS ROAD, L.L.C.
Location Address1527 SPRINGS RDVallejo, CA 94591-5448
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(707) 554-2876
Organization SubpartYesParent: Empres California Healthcare, Llc
Authorized OfficialBrent WeilManager · (360) 892-6628
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 30, 20172 updates tracked since enumeration
NPI 1023066966 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 · 110000003
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.
1527 SPRINGS RD, Vallejo, CA 94591

Other Names 1

Doing Business AsSprings Road Healthcare

Other Identifiers 2

MedicaidZZR05222JCA
Medicare OSCAR/certification055222CA

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 05D0705760

Springs Road Healthcare · Vallejo, CA
Active · expires Mar 31, 2027
CLIA Number05D0705760
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorGurpreet Dhugga
Laboratory Phone(707) 643-2793
Laboratory LocationSprings Road Healthcare1527 Springs Road, Vallejo, CA 94591
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Occupational Therapy Assistant
1527 SPRINGS RD
VALLEJO, CA 94591
Speech-Language Pathologist
1527 SPRINGS RD
VALLEJO, CA 94591
Occupational Therapy Assistant
1527 SPRINGS RD
VALLEJO, CA 94591
Physical Therapy Assistant
1527 SPRINGS RD
VALLEJO, CA 94591
Occupational Therapist
1527 SPRINGS RD
VALLEJO, CA 94591
Skilled Nursing Facility
1527 SPRINGS RD
VALLEJO, CA 94591
Occupational Therapy Assistant
1527 SPRINGS RD
VALLEJO, CA 94591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen At Springs Road, L.L.C.'s NPI number?

The NPI number for Evergreen At Springs Road, L.L.C. is 1023066966. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Springs Road Healthcare.

Where is Evergreen At Springs Road, L.L.C. located?

Evergreen At Springs Road, L.L.C. is located at 1527 Springs Rd, Vallejo, CA 94591. The listed phone number is (707) 643-2793.

What is Evergreen At Springs Road, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evergreen At Springs Road, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0705760) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen At Springs Road, L.L.C. was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.