BANCROFT CONVALESCENT HOSPITAL
NPI 1467597534
Skilled Nursing Facility in San Leandro, CA

Active since February 20, 2007CLIA 05D0600607 · Waiver
1475 BANCROFT AVE, SAN LEANDRO, CA 94577(510) 483-1680(510) 483-1683 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bancroft Convalescent Hospital NPPES

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

BANCROFT CONVALESCENT HOSPITAL (NPI 1467597534) is a healthcare organization registered as a skilled nursing facility in San Leandro, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Boyd H Macdonald, President, as its authorized official.

NPPES Registry Identity

NPI1467597534
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBANCROFT CONVALESCENT HOSPITAL, INC.
Location Address1475 BANCROFT AVESan Leandro, CA 94577-5105
Mailing Address1475 Bancroft AveSan Leandro, CA 94577-5105 · (510) 483-1680 · Fax (510) 483-1683
Fax(510) 483-1683
Organization SubpartNo
Authorized OfficialBoyd H MacdonaldPresident · (510) 483-1680
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1467597534 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.
1475 BANCROFT AVE, San Leandro, CA 94577

Other Names 1

Doing Business AsBancroft Convalescent Hospital

Other Identifiers 1

MedicaidLTC05107FCA

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 05D0600607

Bancroft Convalescent · San Leandro, CA
Active · expires Aug 31, 2026
CLIA Number05D0600607
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHarley S. Schultz MD
Laboratory Phone(510) 483-1680
Laboratory LocationBancroft Convalescent1475 Bancroft Avenue, San Leandro, CA 94577
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

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

Skilled Nursing Facility
1475 BANCROFT AVE
SAN LEANDRO, CA 94577

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 Bancroft Convalescent Hospital, Inc.'s NPI number?

The NPI number for Bancroft Convalescent Hospital, Inc. is 1467597534. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Bancroft Convalescent Hospital.

Where is Bancroft Convalescent Hospital, Inc. located?

Bancroft Convalescent Hospital, Inc. is located at 1475 Bancroft Ave, San Leandro, CA 94577. The listed phone number is (510) 483-1680.

What is Bancroft Convalescent Hospital, Inc.'s specialty?

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

Does Bancroft Convalescent Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0600607) 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 Bancroft Convalescent Hospital, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.