ALDERSON CONVALESCENT HOSPITAL
NPI 1457554339
Skilled Nursing Facility in Woodland, CA

Active since June 07, 2007CLIA 05D0644150 · Waiver
124 WALNUT ST, WOODLAND, CA 95695(530) 662-9161(530) 662-9208 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alderson Convalescent Hospital NPPES

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

ALDERSON CONVALESCENT HOSPITAL (NPI 1457554339) is a healthcare organization registered as a skilled nursing facility in Woodland, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tom Mullen, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1457554339
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHOMAS E MULLEN
Location Address124 WALNUT STWoodland, CA 95695-3137
Mailing Address124 Walnut StWoodland, CA 95695-3137 · (530) 662-9161 · Fax (530) 662-9208
Fax(530) 662-9208
Organization SubpartNo
Authorized OfficialTom MullenBusiness Manager · (530) 662-9161
Enumeration DateJune 7, 2007
Last NPPES UpdateJune 12, 2008
NPI 1457554339 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 · 100000155
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.
124 WALNUT ST, Woodland, CA 95695

Other Names 1

Doing Business AsAlderson Convalescent Hospital

Other Identifiers 1

Medicare ID-Type Unspecified055438CA

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 05D0644150

Aldersons Convalescent Hospital · Woodland, CA
Active · expires Aug 31, 2026
CLIA Number05D0644150
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Pirruccello MD
Laboratory Phone(916) 662-9161
Laboratory LocationAldersons Convalescent Hospital124 Walnut St, Woodland, CA 95695
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Specialist
124 WALNUT ST
WOODLAND, CA 95695
Skilled Nursing Facility
124 WALNUT ST
WOODLAND, CA 95695
Skilled Nursing Facility
124 WALNUT ST
WOODLAND, CA 95695

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 Thomas E Mullen's NPI number?

The NPI number for Thomas E Mullen is 1457554339. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Alderson Convalescent Hospital.

Where is Thomas E Mullen located?

Thomas E Mullen is located at 124 Walnut St, Woodland, CA 95695. The listed phone number is (530) 662-9161.

What is Thomas E Mullen's specialty?

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

Does Thomas E Mullen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0644150) 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 Thomas E Mullen was last updated on June 12, 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.