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DEL ROSA VILLA
NPI 1134527500
Skilled Nursing Facility in San Bernardino, CA

Active since December 16, 2014CLIA 05D0717167 · Waiver
4/5
Overall Rating
2018 DEL ROSA AVE, SAN BERNARDINO, CA 92404(909) 885-3261(909) 888-3871 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Aug 5, 2024, Aug 7, 2019 and 4 more (7 updates tracked since 2016).

About Del Rosa Villa NPPES

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

DEL ROSA VILLA (NPI 1134527500) is a healthcare organization registered as a skilled nursing facility in San Bernardino, California and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1134527500
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDEL ROSA VILLAIDENCE OPCO, LLC
Location Address2018 DEL ROSA AVESan Bernardino, CA 92404-5642
Mailing Address262 N University AveFarmington, UT 84025-2975
Phone(909) 885-3261
Fax(909) 888-3871
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 988-3319
Enumeration DateDecember 16, 2014
Last NPPES UpdateAugust 19, 20247 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1134527500 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.
2018 DEL ROSA AVE, San Bernardino, CA 92404
Open in Google Maps ↗

Other Names 1

Doing Business AsDel Rosa Villa

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 05D0717167

Del Rosa Villa · San Bernardino, CA
Active · expires Aug 31, 2026
CLIA Number05D0717167
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSepehr Golboo
Laboratory Phone(909) 885-3261
Laboratory LocationDel Rosa Villa2018 Del Rosa Ave, San Bernardino, CA 92404
CLIA data matches this NPI record on: Address Name Phone
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 Del Rosa Villa (CMS certification number 555195), from CMS Care Compare.

Del Rosa Villa

Nursing home · San Bernardino, CA
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number555195
Certified Beds104 beds92 residents per day on average
Medicare & Medicaid Participant SinceSeptember 10, 1984
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
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.
51.33
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 2.56 · LPN 1.24 · RN 0.29
4.1 hrs per resident per day
Weekend Nurse Staffing
3.87 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
56%
Registered Nurse Turnover
66.7%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
10
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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

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

DEL ROSA VILLA, LLC
Skilled Nursing Facility
2018 DEL ROSA AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 885-3261

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 Del Rosa Villaidence Opco, LLC's NPI number?

The NPI number for Del Rosa Villaidence Opco, LLC is 1134527500. It was assigned to this organization in the NPPES registry on December 16, 2014. The provider is doing business as Del Rosa Villa.

Where is Del Rosa Villaidence Opco, LLC located?

Del Rosa Villaidence Opco, LLC is located at 2018 Del Rosa Ave, San Bernardino, CA 92404. The listed phone number is (909) 885-3261.

What is Del Rosa Villaidence Opco, LLC's specialty?

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

Does Del Rosa Villaidence Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0717167) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Del Rosa Villaidence Opco, LLC a Medicare-certified nursing home?

Yes. Del Rosa Villa is a Medicare-certified nursing home with 104 certified beds.

What quality rating does Del Rosa Villaidence Opco, LLC have?

CMS rates Del Rosa Villa 4 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 Del Rosa Villaidence Opco, LLC was last updated on August 19, 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.