PETALUMA POST-ACUTE REHABILITATION
NPI 1205316833
Skilled Nursing Facility in Petaluma, CA


Overall Rating: 5 out of 5 stars

NPI Status: Active since August 14, 2018

Contact Information

1115 B ST
PETALUMA, CA
ZIP 94952
Phone: (707) 765-3030

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 05D0714403
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About PETALUMA POST-ACUTE REHABILITATION

This page provides the complete NPI Profile along with additional information for Petaluma Post-acute Rehabilitation, a provider established in Petaluma, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1205316833 assigned on August 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Petaluma Post-acute Rehabilitation. The authorized official of this NPI record is Mr. Jeffrey Bradshaw Nha (Manager)

NPI
1205316833
Provider Legal Name
APTB, LLC
Other Organization Name
PETALUMA POST-ACUTE REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1115 B ST PETALUMA, CA 94952
Location Phone
(707) 765-3030
Mailing Address
28202 CABOT RD STE 412 LAGUNA NIGUEL, CA 92677
Mailing Phone
(949) 347-7100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2018
Last Update Date
08-14-2018
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According to the Nursing Home Compare program data, Petaluma Post-acute Rehabilitation has a much above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 5 out of 5 stars provide a snapshot of this nursing home quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFREY BRADSHAW NHA

Authorized Official Title
MANAGER
Authorized Official Phone
(949) 347-7100

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 5 out of 5 stars - Much Above Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 5 out of 5 stars - Much Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 4 out of 5 stars - Above Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.62 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.86 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover36.8%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Individual
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds90 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day76 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0714403
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
RAJINA T. RANADIVE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Petaluma Post-acute Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PETALUMA POST-ACUTE REHABILITATION

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205316833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205611286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 1 + 1 + 2 + 8 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1205316833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164910063 MICHELLE GARCIA
Individual
Physical Therapist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1003468943 KELSEY DAWN ZAMBRASKI MOT, OTR/L
Individual
Occupational Therapist1115 B ST
PETALUMA, CA 94952
(845) 249-0292
1336754761 SKYLER J MOON
Individual
Occupational Therapist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1447845276 SARAH ANNE WILLBERGH OTR/L
Individual
Occupational Therapist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1710558317 KYRA ELISE HENDERSON MS
Individual
Speech-Language Pathologist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1578206819 ALEJANDRO DANIEL CARRANZA
Individual
Speech-Language Pathologist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1326774670 LORRAINE FINNEGAN
Individual
Occupational Therapist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1841998887 CHAEMIN LEE
Individual
Speech-Language Pathologist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1285294397 RILEIGH MICHELLE VARGA OTD
Individual
Occupational Therapist1115 B ST
PETALUMA, CA 94952
(707) 765-3030
1659356160PETALUMA C.C. INC.
Organization
Skilled Nursing Facility1115 B ST
PETALUMA, CA 94952
(707) 765-3030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205316833, enumerated in the NPI registry as an "organization" on August 14, 2018

The provider is located at 1115 B St Petaluma, Ca 94952 and the phone number is (707) 765-3030

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 05D0714403 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this nursing home is 5 out of 5 stars which is much above average when compared to other nursing homes. The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.

This NPI record was last updated on August 14, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.