GREENFIELD CARE CENTER OF FULLERTON, LLC
NPI 1871580480
Skilled Nursing Facility in Fullerton, CA

Active since September 29, 2005CLIA 05D0719737 · Waiver
5/5
Overall Rating
330 W BASTANCHURY RD, FULLERTON, CA 92835(714) 879-4511 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenfield Care Center Of Fullerton, Llc NPPES

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

GREENFIELD CARE CENTER OF FULLERTON, LLC (NPI 1871580480) is a healthcare organization registered as a skilled nursing facility in Fullerton, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jenq H Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1871580480
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGREENFIELD CARE CENTER OF FULLERTON, LLC
Location Address330 W BASTANCHURY RDFullerton, CA 92835-3403
Mailing Address1937 Pontius AveLos Angeles, CA 90025-5611
Organization SubpartNo
Authorized OfficialJenq H ChenOwner · (310) 889-9929
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 20, 2017
NPI 1871580480 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 · 060000177
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.

330 W BASTANCHURY RD, Fullerton, CA 92835

Other Identifiers 2

Medicare ID-Type Unspecified056151CA
MedicaidZZT06151HCA

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 05D0719737

Greenfield Care Center Of Fullerton, LLC · Fullerton, CA
Active · expires Aug 31, 2026
CLIA Number05D0719737
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaewon Song
Laboratory Phone(714) 879-4511
Laboratory LocationGreenfield Care Center Of Fullerton, LLC330 W Bastanchury Road, Fullerton, CA 92835
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 Greenfield Care Center Of Fullerton, LLC (CMS certification number 056151), from CMS Care Compare.

Greenfield Care Center Of Fullerton, LLC

Nursing home · Fullerton, CA
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056151
Certified Beds99 beds87 residents per day on average
Medicare & Medicaid Participant SinceJune 23, 1989
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.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
32
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 2.55 · LPN 0.93 · RN 0.62
4.1 hrs per resident per day
Weekend Nurse Staffing
3.8 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
17.6%
Registered Nurse Turnover
16.7%
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
0
Substantiated Complaints
0
Infection-Control Citations
2
Fines
2 totaling $12,125.00
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Greenfield Care Center Of Fullerton, LLC's NPI number?

The NPI number for Greenfield Care Center Of Fullerton, LLC is 1871580480. It was assigned to this organization in the NPPES registry on September 29, 2005.

Where is Greenfield Care Center Of Fullerton, LLC located?

Greenfield Care Center Of Fullerton, LLC is located at 330 W Bastanchury Rd, Fullerton, CA 92835. The listed phone number is (714) 879-4511.

What is Greenfield Care Center Of Fullerton, LLC's specialty?

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

Does Greenfield Care Center Of Fullerton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0719737) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Greenfield Care Center Of Fullerton, LLC a Medicare-certified nursing home?

Yes. Greenfield Care Center Of Fullerton, LLC is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Greenfield Care Center Of Fullerton, LLC have?

CMS rates Greenfield Care Center Of Fullerton, LLC 5 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 Greenfield Care Center Of Fullerton, LLC was last updated on March 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.