CANYON SPRINGS POST-ACUTE
NPI 1639548308
Skilled Nursing Facility in San Jose, CA

Active since September 23, 2015CLIA 05D0607461 · Waiver
3/5
Overall Rating
180 N JACKSON AVE, SAN JOSE, CA 95116(408) 259-8700 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 5, 2024, Oct 2, 2015 (3 updates tracked since 2015).

About Canyon Springs Post-acute NPPES

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

CANYON SPRINGS POST-ACUTE (NPI 1639548308) is a healthcare organization registered as a skilled nursing facility in San Jose, California and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1639548308
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDRAGONFRUIT HOLDINGS, LLC
Location Address180 N JACKSON AVESan Jose, CA 95116-1907
Mailing Address262 N University Ave # 200Farmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (385) 518-1814
Enumeration DateSeptember 23, 2015
Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
NPI 1639548308 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.
180 N JACKSON AVE, San Jose, CA 95116

Other Names 1

Doing Business AsCanyon Springs Post-acute

Other Identifiers 1

Medicaid1639548308CA

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 05D0607461

Canyon Springs Post-Acute · San Jose, CA
Active · expires Aug 31, 2026
CLIA Number05D0607461
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSureka Vetsa
Laboratory Phone(408) 259-8700
Laboratory LocationCanyon Springs Post-Acute180 N Jackson Ave, San Jose, CA 95116
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 Canyon Springs Post-Acute (CMS certification number 056082), from CMS Care Compare.

Canyon Springs Post-Acute

Nursing home · San Jose, CA
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056082
Certified Beds199 beds183 residents per day on average
Medicare & Medicaid Participant SinceDecember 30, 1994
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
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.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
120.67
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 2.16 · LPN 1.03 · RN 0.36
3.56 hrs per resident per day
Weekend Nurse Staffing
3.32 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34.2%
Registered Nurse Turnover
38.5%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
16
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 5

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

Skilled Nursing Facility
180 N JACKSON AVE
SAN JOSE, CA 95116
Occupational Therapist (Physical Rehabilitation)
180 N JACKSON AVE
SAN JOSE, CA 95116
Occupational Therapist
180 N JACKSON AVE
SAN JOSE, CA 95116
Skilled Nursing Facility
180 N JACKSON AVE
SAN JOSE, CA 95116
Occupational Therapist
180 N JACKSON AVE
SAN JOSE, CA 95116

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 Dragonfruit Holdings, LLC's NPI number?

The NPI number for Dragonfruit Holdings, LLC is 1639548308. It was assigned to this organization in the NPPES registry on September 23, 2015. The provider is doing business as Canyon Springs Post-Acute.

Where is Dragonfruit Holdings, LLC located?

Dragonfruit Holdings, LLC is located at 180 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 259-8700.

What is Dragonfruit Holdings, LLC's specialty?

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

Does Dragonfruit Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0607461) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dragonfruit Holdings, LLC a Medicare-certified nursing home?

Yes. Canyon Springs Post-Acute is a Medicare-certified nursing home with 199 certified beds.

What quality rating does Dragonfruit Holdings, LLC have?

CMS rates Canyon Springs Post-Acute 3 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 Dragonfruit Holdings, LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.