BADGER CREEK
NPI 1124192364
Nursing Facility/Intermediate Care Facility in Santa Rosa, CA

Q: What is Slow Sculpture's NPI number?

The NPI number for Slow Sculpture is 1124192364. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is also known as Badger Creek.

Q: What is Slow Sculpture's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Slow Sculpture was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 20, 2006CLIA 05D0985408 · Waiver

4520 BADGER RD, SANTA ROSA, CA 95409(707) 537-7024(707) 537-1753 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Badger Creek NPPES

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

BADGER CREEK (NPI 1124192364) is a healthcare organization registered as a nursing facility/intermediate care facility in Santa Rosa, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Sarane Alison Baker-collins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124192364

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSLOW SCULPTURE

Location Address4520 BADGER RDSanta Rosa, CA 95409-2631

Mailing Address4520 Badger RdSanta Rosa, CA 95409-2631 · (707) 537-7024 · Fax (707) 537-1753

Phone(707) 537-7024

Fax(707) 537-1753

Organization SubpartNo

Authorized OfficialSarane Alison Baker-collinsCfo · (707) 537-7024

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124192364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

4520 BADGER RD, Santa Rosa, CA 95409

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Other Names 1

Other NameBadger Creek

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 05D0985408

Slow Sculpture · Santa Rosa, CA

Active · expires Apr 16, 2027

CLIA Number05D0985408

Laboratory TypeOther

Certificate Effective DateApril 17, 2025

Certificate Expiration DateApril 16, 2027

Laboratory DirectorScott Chilcott MD

Laboratory Phone(707) 537-7024

Laboratory LocationSlow Sculpture5715 Monte Verde, Santa Rosa, CA 95409

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Slow Sculpture's NPI number?

The NPI number for Slow Sculpture is 1124192364. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is also known as Badger Creek.

Where is Slow Sculpture located?

Slow Sculpture is located at 4520 Badger Rd, Santa Rosa, CA 95409. The listed phone number is (707) 537-7024.

What is Slow Sculpture's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Slow Sculpture hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0985408) is associated with this NPI, valid through April 16, 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 Slow Sculpture was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.