Organization Active NPI

Centerpointe Care Center LLC

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1104401595
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTERPOINTE CARE CENTER LLC
Practice address
3408 E Shields Ave
Fresno, CA 93726-6907
Phone
(559) 227-4063
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Brett Hobbs
Title
Administrator
Phone
(559) 227-4063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3408 E Shields Ave
Fresno, CA 93726-6907

Mailing address

3408 E Shields Ave
Fresno, CA 93726-6907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722000771 CA Part A Provider - Skilled Nursing Facility 6204239668 Practice locations: Fresno, CA

Skilled nursing facility certification: CCN 055996

Legal name
CENTERPOINTE CARE CENTER, LLC
Doing business as
CENTERPOINTE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1968
Last certification
Feb 6, 2025
Beds
121
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Jericho Care Group
Organization structure
LLCProprietary
Incorporated
Feb 4, 2021 in CA
Enrollment address
3408 E Shields Ave
Fresno, CA 93726-6907
Nursing home name
COVENANT POST ACUTE
Affiliated entity
JERICHO CARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Covenant Post AcuteCCN 055996
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 27, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
121113.2 residents per day on average
Chain
Jericho Care Group7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lucille Epperson Individual Operational/Managerial ControlAdministrator Apr 9, 2021 100%
Julianne M Williams Individual 5% Or Greater Indirect Ownership Interest Apr 9, 2021 20%
Pakhdavor, LLC Organization, Kingsburg, CA Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 9, 2021 20%
Jacob Unger Individual 5% Or Greater Indirect Ownership Interest Apr 9, 2021 80%
Corporate OfficerManger Apr 9, 2021 100%
Aht Holdings, LLC Organization, Valley Village, CA Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 9, 2021 100%
Operational/Managerial Control Apr 9, 2021 100%

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1104401595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266907",
            "telephone_number": "559-227-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-227-4063"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.