GREENFIELD CARE CENTER OF FAIRFIELD LLC
NPI 1396732590
Skilled Nursing Facility in Fairfield, CA

Active since October 03, 2005CLIA 05D0672542 · Waiver
1/5
Overall Rating
1260 TRAVIS BLVD, FAIRFIELD, CA 94533(707) 425-0669 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Greenfield Care Center Of Fairfield Llc NPPES

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

GREENFIELD CARE CENTER OF FAIRFIELD LLC (NPI 1396732590) is a healthcare organization registered as a skilled nursing facility in Fairfield, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jenq H Chen, Chairman/president, as its authorized official.

NPPES Registry Identity

NPI1396732590
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGREENFIELD CARE CENTER OF FAIRFIELD LLC
Location Address1260 TRAVIS BLVDFairfield, CA 94533-4802
Mailing Address1937 Pontius AveLos Angeles, CA 90025-5611
Organization SubpartNo
Authorized OfficialJenq H ChenChairman/president · (310) 889-9929
Enumeration DateOctober 3, 2005
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1396732590 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 · 110000079
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.

1260 TRAVIS BLVD, Fairfield, CA 94533

Other Identifiers 1

MedicaidZZR05189GCA

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 05D0672542

Greenfield Care Center Of Fairfield, LLC · Fairfield, CA
Active · expires Aug 31, 2026
CLIA Number05D0672542
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGurpreet Dhugga
Laboratory Phone(707) 425-0669
Laboratory LocationGreenfield Care Center Of Fairfield, LLC1260 Travis Blvd, Fairfield, CA 94533
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 Greenfield Care Center Of Fairfield (CMS certification number 055189), from CMS Care Compare.

Greenfield Care Center Of Fairfield

Nursing home · Fairfield, CA
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055189
Certified Beds90 beds63 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
481
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 2.61 · LPN 0.8 · RN 0.86
4.28 hrs per resident per day
Weekend Nurse Staffing
3.85 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
40.3%
Registered Nurse Turnover
37.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
16
Substantiated Complaints
44
Fines
5 totaling $614,280.07
Medicare Payment Denials
3
Total Penalties
8
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.

Physical Therapist
1260 TRAVIS BLVD
FAIRFIELD, CA 94533

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 Greenfield Care Center Of Fairfield LLC's NPI number?

The NPI number for Greenfield Care Center Of Fairfield LLC is 1396732590. It was assigned to this organization in the NPPES registry on October 3, 2005.

Where is Greenfield Care Center Of Fairfield LLC located?

Greenfield Care Center Of Fairfield LLC is located at 1260 Travis Blvd, Fairfield, CA 94533. The listed phone number is (707) 425-0669.

What is Greenfield Care Center Of Fairfield LLC's specialty?

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

Does Greenfield Care Center Of Fairfield LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0672542) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Greenfield Care Center Of Fairfield LLC a Medicare-certified nursing home?

Yes. Greenfield Care Center Of Fairfield is a Medicare-certified nursing home with 90 certified beds.

What quality rating does Greenfield Care Center Of Fairfield LLC have?

CMS rates Greenfield Care Center Of Fairfield 1 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 Greenfield Care Center Of Fairfield LLC was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.