Jackson River Holdings LLC
NPI 1962034496 · Skilled Nursing Facility · Livermore, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson River Holdings LLC is a Skilled Nursing Facility organization in Livermore, CA (NPI 1962034496).
Provider details
- NPI number
- 1962034496
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Myrna De Guzman, Corporate Controller(760) 331-3177
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
6 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
- Stratford Villa Post-Acute
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2020-02-12
- Certified
- 2020-02-12
Frequently asked questions
- What is Jackson River Holdings LLC's NPI number?
- Jackson River Holdings LLC's National Provider Identifier (NPI) is 1962034496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson River Holdings LLC?
- Jackson River Holdings LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jackson River Holdings LLC located?
- Jackson River Holdings LLC's practice location on file with NPPES is 752 Holmes St, Livermore, CA 94550-4229.
- What is Jackson River Holdings LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson River Holdings LLC is (925) 447-2280.
- Does Jackson River Holdings LLC accept Medicare?
- Jackson River Holdings 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 Jackson River Holdings LLC?
- The authorized official listed on Jackson River Holdings LLC's NPPES record is Myrna De Guzman, Corporate Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson River Holdings LLC's NPI active?
- Yes — Jackson River Holdings LLC's NPI (1962034496) is active in the NPPES registry as of the last update on 2020-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.