SHADOWBROOK POST ACUTE
NPI 1750749172
Skilled Nursing Facility in Oroville, CA

Active since January 29, 2016CLIA 05D0644227 · Waiver
1 GILMORE LN, OROVILLE, CA 95966(530) 534-1353 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shadowbrook Post Acute NPPES

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

SHADOWBROOK POST ACUTE (NPI 1750749172) is a healthcare organization registered as a skilled nursing facility in Oroville, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750749172
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHADOWBROOK POST ACUTE LLC
Location Address1 GILMORE LNOroville, CA 95966-5147
Mailing Address530 N Puente StBrea, CA 92821-2804
Organization SubpartNo
Authorized OfficialDavid JohnsonCeo · (888) 309-0022
Enumeration DateJanuary 29, 2016
NPI 1750749172 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.

1 GILMORE LN, Oroville, CA 95966

Other Names 1

Doing Business AsShadowbrook Post Acute

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 05D0644227

Shadowbrook Convalescent Hospital · Oroville, CA
Active · expires Aug 31, 2026
CLIA Number05D0644227
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNeal A. Spiva
Laboratory Phone(530) 534-1353
Laboratory LocationShadowbrook Convalescent Hospital1 Gilmore Lane, Oroville, CA 95966
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist (Gerontology)
1 GILMORE LN
OROVILLE, CA 95966
Skilled Nursing Facility
1 GILMORE LN
OROVILLE, CA 95966
Physical Medicine & Rehabilitation
1 GILMORE LN
OROVILLE, CA 95966
Skilled Nursing Facility
1 GILMORE LN
OROVILLE, CA 95966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750749172, enumerated as an "organization" on January 29, 2016.

The provider is located at 1 GILMORE LN OROVILLE, CA 95966 and the phone number is (530) 534-1353.

Skilled Nursing Facility with taxonomy code 314000000X.