Tice Valley Community Healthcare, LLC
NPI 1114629904 · Skilled Nursing Facility · Walnut Creek, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tice Valley Community Healthcare, LLC is a Skilled Nursing Facility organization in Walnut Creek, CA (NPI 1114629904).
Provider details
- NPI number
- 1114629904
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Mitchell, Secretary(385) 988-3319
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tice Valley Post Acute
- Doing business as
- Tice Valley Post Acute
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Tice Valley Community Healthcare, LLC's NPI number?
- Tice Valley Community Healthcare, LLC's National Provider Identifier (NPI) is 1114629904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tice Valley Community Healthcare, LLC?
- Tice Valley Community Healthcare, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Tice Valley Community Healthcare, LLC located?
- Tice Valley Community Healthcare, LLC's practice location on file with NPPES is 1975 Tice Valley Blvd, Walnut Creek, CA 94595-2201.
- What is Tice Valley Community Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tice Valley Community Healthcare, LLC is (925) 906-0200.
- Does Tice Valley Community Healthcare, LLC accept Medicare?
- Tice Valley Community Healthcare, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tice Valley Community Healthcare, LLC?
- The authorized official listed on Tice Valley Community Healthcare, LLC's NPPES record is John Mitchell, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tice Valley Community Healthcare, LLC's NPI active?
- Yes — Tice Valley Community Healthcare, LLC's NPI (1114629904) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.