SPRUCE HOLDINGS, LLC

NPI 1225270341, organization, Visalia, CA, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00045, ranked 45 nationally.

score 60 of 100, rank 2997, $0 at stake

Provider networks

D1-00045 ranked 45

49 providers around Sacramento, CA: 9 hospices, 36 home health agencies, 4 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SPRUCE HOLDINGS, LLC (also VISALIA POST ACUTE)
Type	Organization
Status	Active
NPI issued	April 3, 2009, last updated August 20, 2024
Practice location	1925 E HOUSTON AVE, Visalia, CA 93292-2345, 559-732-1020
Mailing address	262 N UNIVERSITY AVE, Farmington, UT 84025-2975
Authorized official	JOHN MITCHELL (Secretary)
Specialties	Skilled Nursing Facility (314000000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
97530	Therapy procedure using functional activities	$12K	100%	$469	$124 (top 5% from $387)	too few months to rank

In this area

35 providers in Tulare County, CA carry an indicator in the public record, with $49.2M at stake between them. The most common is more hours than a day holds, on 24 of them, followed by part of a provider network on 11.

tier	provider	at stake	why
3	SUN VILLAIDENCE OPCO, LLC Porterville, CA, ranked 2020	$0	Part of provider network D1-00045, ranked 45 nationally.
3	MERRITT MANOR, INC. Tulare, CA, ranked 2608	$0	Part of provider network D1-00087, ranked 87 nationally.
3	GRAND OAKS CARE LLC Tulare, CA, ranked 3922	$0	Part of provider network D1-00087, ranked 87 nationally.
3	THYME HOLDINGS, LLC Visalia, CA, ranked 4208	$0	Part of provider network D1-00031, ranked 31 nationally.
3	SNOWDROP HOLDINGS, LLC Visalia, CA, ranked 4243	$0	Part of provider network D1-00031, ranked 31 nationally.
3	KAWEAH MANOR, INC. Visalia, CA, ranked 4446	$0	Part of provider network D1-00087, ranked 87 nationally.
3	INFINITE HEART HOSPICE LLC Visalia, CA, ranked 5701	$0	Part of provider network D1-00019, ranked 19 nationally.
3	SIERRA NEVADA SNF, LLC Porterville, CA, ranked 5894	$0	Part of provider network D1-00045, ranked 45 nationally.

All 35 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

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Ask this case

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