NORCAL HEALTHCONNECT LLC
NPI 1205443025
Skilled Nursing Facility in Healdsburg, CA

Active since September 25, 2020CLIA 05D0691807 · Waiver
1375 UNIVERSITY AVE, HEALDSBURG, CA 95448(707) 431-6500 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Dec 4, 2023, Jul 28, 2022 and 1 more (4 updates tracked since 2020).

About Norcal Healthconnect Llc NPPES

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

NORCAL HEALTHCONNECT LLC (NPI 1205443025), doing business as Healdsburg Hospital, is a healthcare organization registered as a skilled nursing facility in Healdsburg, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205443025
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORCAL HEALTHCONNECT LLC
Location Address1375 UNIVERSITY AVEHealdsburg, CA 95448-3382
Mailing AddressPo Box 31001-3085Pasadena, CA 91110-3085
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 25, 2020
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1205443025 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.
1375 UNIVERSITY AVE, Healdsburg, CA 95448

Other Names 1

Doing Business AsHealdsburg Hospital

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 05D0691807

Healdsburg Hospital, Hpg Dba Norcal Healthconnect LLC · Healdsburg, CA
Active · expires Jan 2, 2028
CLIA Number05D0691807
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorDr. Dennis A. Fito
Laboratory Phone(707) 433-3383
Laboratory LocationHealdsburg Hospital, Hpg Dba Norcal Healthconnect LLC1312 Prentice Dr, Healdsburg, CA 95448
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Pulmonary Disease)
1375 UNIVERSITY AVE
HEALDSBURG, CA 95448
Pharmacist
1375 UNIVERSITY AVE
HEALDSBURG, CA 95448
General Acute Care Hospital (Critical Access)
1375 UNIVERSITY AVE
HEALDSBURG, CA 95448
Clinic/Center (Multi-Specialty)
1375 UNIVERSITY AVE
HEALDSBURG, CA 95448
General Acute Care Hospital (Critical Access)
1375 UNIVERSITY AVE
HEALDSBURG, CA 95448

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 Norcal Healthconnect LLC's NPI number?

The NPI number for Norcal Healthconnect LLC is 1205443025. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Healdsburg Hospital.

Where is Norcal Healthconnect LLC located?

Norcal Healthconnect LLC is located at 1375 University Ave, Healdsburg, CA 95448. The listed phone number is (707) 431-6500.

What is Norcal Healthconnect LLC's specialty?

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

Does Norcal Healthconnect LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0691807) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Norcal Healthconnect LLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.