# VACAVILLE HEALTHCARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Vacaville Convalescent & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114914355
- **Authorized official:** MR. JOSEPH MARTIN NICCOLI JR. (ADMINISTRATOR)
- **Authorized official phone:** (707) 449-8000

## Contact information

- **Practice address:** 585 NUT TREE CT, VACAVILLE, CA 95687-3353
- **Practice address phone:** (707) 449-8000
- **Practice address fax:** (707) 449-4166
- **Mailing address:** 585 NUT TREE CT, VACAVILLE, CA 95687-3353
- **Mailing address phone:** (707) 449-8000
- **Mailing address fax:** (707) 449-4166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110000203 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 01/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55349I | — | CA |