TICE VALLEY POST ACUTE
NPI 1114629904
Skilled Nursing Facility in Walnut Creek, CA

Active since March 17, 2023CLIA 05D0928628 · Waiver
1975 TICE VALLEY BLVD, WALNUT CREEK, CA 94595(925) 906-0200 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Aug 12, 2024, Mar 17, 2023 (3 updates tracked since 2023).

About Tice Valley Post Acute NPPES

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

TICE VALLEY POST ACUTE (NPI 1114629904) is a healthcare organization registered as a skilled nursing facility in Walnut Creek, California and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1114629904
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTICE VALLEY COMMUNITY HEALTHCARE, LLC
Location Address1975 TICE VALLEY BLVDWalnut Creek, CA 94595-2201
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateMarch 17, 2023
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1114629904 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.
1975 TICE VALLEY BLVD, Walnut Creek, CA 94595

Other Names 1

Doing Business AsTice Valley Post Acute

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 05D0928628

Tice Valley Post Acute · Walnut Creek, CA
Active · expires May 21, 2027
CLIA Number05D0928628
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorAshish Patel
Laboratory Phone(925) 906-0200
Laboratory LocationTice Valley Post Acute1975 Tice Valley Boulevard, Walnut Creek, CA 94595
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 6

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

Occupational Therapist
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595
Occupational Therapist (Physical Rehabilitation)
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595
Occupational Therapist
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595
Occupational Therapist
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595
Physical Therapist
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595
Skilled Nursing Facility
1975 TICE VALLEY BLVD
WALNUT CREEK, CA 94595

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 Tice Valley Community Healthcare, LLC's NPI number?

The NPI number for Tice Valley Community Healthcare, LLC is 1114629904. It was assigned to this organization in the NPPES registry on March 17, 2023. The provider is doing business as Tice Valley Post Acute.

Where is Tice Valley Community Healthcare, LLC located?

Tice Valley Community Healthcare, LLC is located at 1975 Tice Valley Blvd, Walnut Creek, CA 94595. The listed phone number is (925) 906-0200.

What is Tice Valley Community Healthcare, LLC's specialty?

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

Does Tice Valley Community Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0928628) is associated with this NPI, valid through May 21, 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 Tice Valley Community Healthcare, LLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.