DEVONSHIRE OAKS NURSING CENTER
NPI 1659461408
Skilled Nursing Facility - Nursing Care, Pediatric in Redwood City, CA

Active since October 13, 2006CLIA 05D0883201 · Waiver
4/5
Overall Rating
3635 JEFFERSON AVE, REDWOOD CITY, CA 94062(650) 366-0294(650) 366-0295 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Devonshire Oaks Nursing Center NPPES

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

DEVONSHIRE OAKS NURSING CENTER (NPI 1659461408) is a healthcare organization registered as a nursing care, pediatric in Redwood City, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Danilo Cardenas Cabanayan, President, as its authorized official.

NPPES Registry Identity

NPI1659461408
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameST. THERESE CONVALESCENT HOSPITAL ,INC.
Location Address3635 JEFFERSON AVERedwood City, CA 94062-3148
Mailing Address3635 Jefferson AveRedwood City, CA 94062-3148 · (650) 366-0294 · Fax (650) 366-0295
Fax(650) 366-0295
Organization SubpartNo
Authorized OfficialDanilo Cardenas CabanayanPresident · (650) 366-0294
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1659461408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
3635 JEFFERSON AVE, Redwood City, CA 94062

Other Names 1

Doing Business AsDevonshire Oaks Nursing Center

Other Identifiers 1

MedicaidLTC55813FCA

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 05D0883201

Devonshire Oaks Nursing Center · Redwood City, CA
Active · expires Aug 25, 2027
CLIA Number05D0883201
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorMelissa Frederick
Laboratory Phone(650) 366-9503
Laboratory LocationDevonshire Oaks Nursing Center3635 Jefferson Ave, Redwood City, CA 94062
CLIA data matches this NPI record on: Address Name
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 Devonshire Oaks Nursing Center (CMS certification number 555813), from CMS Care Compare.

Devonshire Oaks Nursing Center

Nursing home · Redwood City, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555813
Certified Beds38 beds28 residents per day on average
Medicare & Medicaid Participant SinceNovember 8, 2004
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
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.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
96
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 2.64 · LPN 0.77 · RN 1.19
4.6 hrs per resident per day
Weekend Nurse Staffing
3.52 hrs per resident per day
Physical Therapist Staffing
0.11 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
46.2%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
3
Fines
1 totaling $655.01
Medicare Payment Denials
0
Total Penalties
1
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 2

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

Home Health
3635 JEFFERSON AVE
REDWOOD CITY, CA 94062
Skilled Nursing Facility
3635 JEFFERSON AVE
REDWOOD CITY, CA 94062

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 St. Therese Convalescent Hospital ,inc.'s NPI number?

The NPI number for St. Therese Convalescent Hospital ,inc. is 1659461408. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Devonshire Oaks Nursing Center.

Where is St. Therese Convalescent Hospital ,inc. located?

St. Therese Convalescent Hospital ,inc. is located at 3635 Jefferson Ave, Redwood City, CA 94062. The listed phone number is (650) 366-0294.

What is St. Therese Convalescent Hospital ,inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Does St. Therese Convalescent Hospital ,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0883201) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St. Therese Convalescent Hospital ,inc. a Medicare-certified nursing home?

Yes. Devonshire Oaks Nursing Center is a Medicare-certified nursing home with 38 certified beds.

What quality rating does St. Therese Convalescent Hospital ,inc. have?

CMS rates Devonshire Oaks Nursing Center 4 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 St. Therese Convalescent Hospital ,inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.