1. Home
  2. Directory
  3. California
  4. Victorville
  5. Skilled Nursing Facility
  6. NPI Profile

SPRING VALLEY POST ACUTE LLC
NPI 1053748830
Skilled Nursing Facility in Victorville, CA

Active since October 10, 2013CLIA 05D0574643 · Waiver
1/5
Overall Rating
14973 HESPERIA RD, VICTORVILLE, CA 92395(310) 266-1080(714) 256-2003 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spring Valley Post Acute Llc NPPES

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

SPRING VALLEY POST ACUTE LLC (NPI 1053748830) is a healthcare organization registered as a skilled nursing facility in Victorville, California and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053748830
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSPRING VALLEY POST ACUTE LLC
Location Address14973 HESPERIA RDVictorville, CA 92395-3923
Mailing Address530 N Puente StBrea, CA 92821-2804 · (310) 266-1080 · Fax (714) 256-2003
Phone(310) 266-1080
Fax(714) 256-2003
Organization SubpartNo
Authorized OfficialDavid JohnsonCeo · (310) 266-1080
Enumeration DateOctober 10, 2013
Last NPPES UpdateDecember 30, 2016
✔ NPI 1053748830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
14973 HESPERIA RD, Victorville, CA 92395
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification055076CA
MedicaidZZT05076FCA

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 05D0574643

Spring Valley Post Acute · Victorville, CA
Active · expires Aug 31, 2026
CLIA Number05D0574643
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorArash Milani
Laboratory Phone(619) 245-6477
Laboratory LocationSpring Valley Post Acute14973 Hesperia Rd, Victorville, CA 92392
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Spring Valley Post Acute LLC (CMS certification number 055076), from CMS Care Compare.

Spring Valley Post Acute LLC

Nursing home · Victorville, CA
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055076
Certified Beds126 beds125 residents per day on average
Medicare & Medicaid Participant SinceFebruary 19, 1971
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
226
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.55 · LPN 1.21 · RN 0.32
4.07 hrs per resident per day
Weekend Nurse Staffing
3.71 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
7
Infection-Control Citations
0
Fines
20 totaling $106,150.70
Medicare Payment Denials
0
Total Penalties
20
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

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

KNOLLS CONVALESCENT HOSPITAL INC
Assisted Living Facility
14973 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 245-6477
MISTY ABRANTES RD
Dietitian, Registered
14973 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 245-6477
PATRICIA ANNETTE MILLER OT
Occupational Therapist
14973 HESPERIA RD
VICTORVILLE, CA 92395
San Bernardino County (760) 245-6477

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 Spring Valley Post Acute LLC's NPI number?

The NPI number for Spring Valley Post Acute LLC is 1053748830. It was assigned to this organization in the NPPES registry on October 10, 2013.

Where is Spring Valley Post Acute LLC located?

Spring Valley Post Acute LLC is located at 14973 Hesperia Rd, Victorville, CA 92395. The listed phone number is (310) 266-1080.

What is Spring Valley Post Acute LLC's specialty?

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

Does Spring Valley Post Acute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0574643) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Spring Valley Post Acute LLC a Medicare-certified nursing home?

Yes. Spring Valley Post Acute LLC is a Medicare-certified nursing home with 126 certified beds.

What quality rating does Spring Valley Post Acute LLC have?

CMS rates Spring Valley Post Acute LLC 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Spring Valley Post Acute LLC was last updated on December 30, 2016. 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.