ROSEVILLE CARE CENTER, INC.
NPI 1154320463
Skilled Nursing Facility in Roseville, CA

Active since July 19, 2005CLIA 05D0614355 · Waiver
1161 CIRBY WAY, ROSEVILLE, CA 95661(916) 782-1238(916) 782-1238 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roseville Care Center, Inc. NPPES

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

ROSEVILLE CARE CENTER, INC. (NPI 1154320463), doing business as Roseville Convalescent Hospital Inc, is a healthcare organization registered as a skilled nursing facility in Roseville, California and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Larry E Bear, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154320463
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameROSEVILLE CARE CENTER, INC.
Location Address1161 CIRBY WAYRoseville, CA 95661-4421
Mailing Address4020 Sierra College Blvd, Suite 190Rocklin, CA 95677-3906 · (916) 624-6230 · Fax (916) 624-6249
Fax(916) 782-1238
Organization SubpartYesParent: Horizon West Healthcare, Inc.
Authorized OfficialLarry E BearChief Executive Officer · (916) 624-6230
Enumeration DateJuly 19, 2005
Last NPPES UpdateJune 10, 2008
NPI 1154320463 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 · 030000002
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.
1161 CIRBY WAY, Roseville, CA 95661

Other Names 1

Former Legal Business NameRoseville Convalescent Hospital Inc

Other Identifiers 3

Medicare NSC5444650001CA
MedicaidZZR05886GCA
Medicare OSCAR/certification055886CA

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 05D0614355

Roseville Care Center · Roseville, CA
Active · expires Aug 31, 2026
CLIA Number05D0614355
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Abdulhalim Khan
Laboratory Phone(916) 782-1238
Laboratory LocationRoseville Care Center1161 Cirby Way, Roseville, CA 95661
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 10

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

Physical Therapist
1161 CIRBY WAY
ROSEVILLE, CA 95661
Nurse Practitioner (Adult Health)
1161 CIRBY WAY
ROSEVILLE, CA 95661
Occupational Therapist
1161 CIRBY WAY
ROSEVILLE, CA 95661
Speech-Language Pathologist
1161 CIRBY WAY
ROSEVILLE, CA 95661
Physical Therapist
1161 CIRBY WAY
ROSEVILLE, CA 95661
Physical Therapist
1161 CIRBY WAY
ROSEVILLE, CA 95661
Nurse's Aide
1161 CIRBY WAY
ROSEVILLE, CA 95661
Nurse Practitioner (Family)
1161 CIRBY WAY
ROSEVILLE, CA 95661

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 Roseville Care Center, Inc.'s NPI number?

The NPI number for Roseville Care Center, Inc. is 1154320463. It was assigned to this organization in the NPPES registry on July 19, 2005. The provider was formerly known as Roseville Convalescent Hospital Inc.

Where is Roseville Care Center, Inc. located?

Roseville Care Center, Inc. is located at 1161 Cirby Way, Roseville, CA 95661. The listed phone number is (916) 782-1238.

What is Roseville Care Center, Inc.'s specialty?

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

Does Roseville Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0614355) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roseville Care Center, Inc. was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.