Organization Active NPI

The Dalles SNF Operations, LLC

Doing business as The Dalles Health & Rehabilitation Center

  • Skilled Nursing Facility
  • The Dalles, OR
National Provider Identifier
1013621309
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE DALLES SNF OPERATIONS, LLC
Doing business as
The Dalles Health & Rehabilitation Center
Practice address
1023 W 25TH St
The Dalles, OR 97058-1251
Phone
(541) 298-5158
NPI assigned
Jan 11, 2023
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yitzchok Yenowitz
Title
Authorized Representative
Phone
(732) 769-8877

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Registered Respiratory Therapist 227900000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1023 W 25TH St
The Dalles, OR 97058-1251

Mailing address

1777 Avenue of the States Ste 102
Lakewood, NJ 08701-4779
Phone (732) 366-8300

Other names 1

  • The Dalles Health & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205003819 OR Part A Provider - Skilled Nursing Facility 8022451277 Practice locations: The Dalles, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013621309. Details of each certification follow.

Skilled nursing facility certification: CCN 385172

Legal name
THE DALLES SNF OPERATIONS LLC
Doing business as
THE DALLES HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1986
Last certification
Dec 20, 2024
Beds
121
Ownership / control type
Corporation
Multi-facility organization
Evergreen Healthcare
Most recent change of ownership
Aug 31, 2023
Organization structure
LLCProprietary
Enrollment address
1023 W 25TH St
The Dalles, OR 97058-1251
Nursing home name
THE DALLES HEALTH AND REHABILITATION
Affiliated entity
EVERGREEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Dalles Health and RehabilitationCCN 385172 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12137.1 residents per day on average
Chain
Evergreen Healthcare Group44 facilities in the chain
Penalties (3 years)
1Fines totaling $14,380

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Witzcorp PNW 12 LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 25%
Washington-Oregon Associates LLC Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT) Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023
Couve Healthcare Consulting LLC Organization, Vancouver, WA LLC, Management services company, Consulting firm Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 9, 2025
Indirect Ownership Interest Aug 31, 2023
CH PNW 12 Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 66.5%
PNW 12 Opco Management LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 11, 2025
Indirect Ownership Interest Aug 31, 2023
Couve Financial Services LLC Organization, Vancouver, WA LLC, Management services company, Chain home office Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 11, 2025
Indirect Ownership Interest Aug 31, 2023
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 1%
Danielle Curry Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Clinical Ops Aug 31, 2023
Adp of the SNF Aug 31, 2023
Individual Indirect Ownership Interest Aug 31, 2023 1%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 3%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 2.25%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 2.25%
Individual Indirect Ownership Interest Aug 31, 2023 3%
Jordan Nagle Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Yitzchok Yenowitz Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Yisroel E Herzka Individual Indirect Ownership Interest Aug 31, 2023 66.5%
PNW 12 SNF Consulting LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 9, 2025
Indirect Ownership Interest Aug 31, 2023
The Dalles SNF Operations LLC Organization, The Dalles, OR LLC Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 9, 2025
Direct Ownership Interest Aug 31, 2023
Jasen Tennison Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Shimon Spielman Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023
Jason Odenthal Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Operations Aug 31, 2023
Adp of the SNF Aug 31, 2023
Leana Tennison Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Pacific Northwest 12 Leased Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Aug 31, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 51

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 51

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1013621309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014779",
            "telephone_number": "732-366-8300",
            "fax_number": "723-523-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W 25TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581251",
            "telephone_number": "541-298-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DALLES SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "732-769-8877"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dalles Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dalles Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.