BRASWELLS YUCAIPA VALLEY CONVALESCENT LP
NPI 1306817747
Skilled Nursing Facility in Yucaipa, CA

Active since February 01, 2006CLIA 05D0643234 · Waiver
35253 AVENUE H, YUCAIPA, CA 92399(909) 795-2476(909) 795-0458 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Braswells Yucaipa Valley Convalescent Lp NPPES

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

BRASWELLS YUCAIPA VALLEY CONVALESCENT LP (NPI 1306817747) is a healthcare organization registered as a skilled nursing facility in Yucaipa, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Valerie Candelaria, Director Of Ar, as its authorized official.

NPPES Registry Identity

NPI1306817747
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRASWELLS YUCAIPA VALLEY CONVALESCENT LP
Location Address35253 AVENUE HYucaipa, CA 92399-5415
Mailing Address35253 Avenue HYucaipa, CA 92399-5415 · (909) 795-2476 · Fax (909) 795-0458
Fax(909) 795-0458
Organization SubpartNo
Authorized OfficialValerie CandelariaDirector Of Ar · (909) 446-8754
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 16, 2007
NPI 1306817747 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.
35253 AVENUE H, Yucaipa, CA 92399

Other Identifiers 4

MedicaidZZT05557GCA
Medicare OSCAR/certification055557CA
Other055557CA · Medicare Provider Number
Medicare ID-Type Unspecified055557CA

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 05D0643234

Braswells Yucaipa Valley Conv Hosp · Yucaipa, CA
Active · expires Aug 31, 2026
CLIA Number05D0643234
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTonda Bradshaw, Do
Laboratory Phone(909) 795-2476
Laboratory LocationBraswells Yucaipa Valley Conv Hosp35253 Ave H, Yucaipa, CA 92399
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
35253 AVENUE H
YUCAIPA, CA 92399
Skilled Nursing Facility
35253 AVENUE H
YUCAIPA, CA 92399

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 Braswells Yucaipa Valley Convalescent LP's NPI number?

The NPI number for Braswells Yucaipa Valley Convalescent LP is 1306817747. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is Braswells Yucaipa Valley Convalescent LP located?

Braswells Yucaipa Valley Convalescent LP is located at 35253 Avenue H, Yucaipa, CA 92399. The listed phone number is (909) 795-2476.

What is Braswells Yucaipa Valley Convalescent LP's specialty?

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

Does Braswells Yucaipa Valley Convalescent LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0643234) 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 Braswells Yucaipa Valley Convalescent LP was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.