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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRINCETON MANOR HEALTHCARE CENTER LLC
NPI 1891146593
Skilled Nursing Facility in Oakland, CA

Active since June 24, 2016CLIA 05D0602911 · Waiver
2/5
Overall Rating
2124 57TH AVE, OAKLAND, CA 94621(510) 261-2628 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Jun 24, 2016 (2 updates tracked since 2016).

About Princeton Manor Healthcare Center Llc NPPES

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

PRINCETON MANOR HEALTHCARE CENTER LLC (NPI 1891146593) is a healthcare organization registered as a skilled nursing facility in Oakland, California and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists David Silver, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1891146593
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRINCETON MANOR HEALTHCARE CENTER LLC
Location Address2124 57TH AVEOakland, CA 94621-4322
Mailing Address2124 57th AveOakland, CA 94621-4322 · (510) 261-2628
Phone(510) 261-2628
Organization SubpartNo
Authorized OfficialDavid SilverManaging Member · (310) 896-7471
Enumeration DateJune 24, 2016
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1891146593 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.
2124 57TH AVE, Oakland, CA 94621
Open in Google Maps ↗

Other Identifiers 1

MedicaidZZR05876ICA

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 05D0602911

Princeton Manor Healthcare Center, LLC · Oakland, CA
Active · expires Jun 30, 2027
CLIA Number05D0602911
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorArun Manoharan
Laboratory Phone(510) 261-2628
Laboratory LocationPrinceton Manor Healthcare Center, LLC2124 57th Ave, Oakland, CA 94621
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 Princeton Manor Healthcare Center, LLC (CMS certification number 055876), from CMS Care Compare.

Princeton Manor Healthcare Center, LLC

Nursing home · Oakland, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number055876
Certified Beds82 beds78 residents per day on average
Medicare & Medicaid Participant SinceJanuary 18, 1968
Resident & Family CouncilResident and family councils
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
103.33
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 1.81 · LPN 1.03 · RN 0.22
3.06 hrs per resident per day
Weekend Nurse Staffing
2.32 hrs per resident per day
Physical Therapist Staffing
0.12 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
30.4%
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
10
Fines
1 totaling $19,600.00
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

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

WINDSOR WILLOW TREE NURSING & REHAB CENTER, LLC
Skilled Nursing Facility
2124 57TH AVE
OAKLAND, CA 94621
Alameda County (510) 261-2628

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 Princeton Manor Healthcare Center LLC's NPI number?

The NPI number for Princeton Manor Healthcare Center LLC is 1891146593. It was assigned to this organization in the NPPES registry on June 24, 2016.

Where is Princeton Manor Healthcare Center LLC located?

Princeton Manor Healthcare Center LLC is located at 2124 57th Ave, Oakland, CA 94621. The listed phone number is (510) 261-2628.

What is Princeton Manor Healthcare Center LLC's specialty?

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

Does Princeton Manor Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0602911) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Princeton Manor Healthcare Center LLC a Medicare-certified nursing home?

Yes. Princeton Manor Healthcare Center, LLC is a Medicare-certified nursing home with 82 certified beds.

What quality rating does Princeton Manor Healthcare Center LLC have?

CMS rates Princeton Manor Healthcare Center, LLC 2 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 Princeton Manor Healthcare Center LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.