Organization Active NPI

Ahc Healthcare of Sacramento LLC

  • Skilled Nursing Facility
  • Sacramento, CA
National Provider Identifier
1114439262
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AHC HEALTHCARE OF SACRAMENTO LLC
Practice address
1411 Expo Pkwy
Sacramento, CA 95815-4238
Phone
(916) 758-6300
NPI assigned
Oct 30, 2017
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Nathan Oxnam
Title
President
Phone
(385) 622-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1411 Expo Pkwy
Sacramento, CA 95815-4238

Mailing address

1411 Expo Pkwy
Sacramento, CA 95815-4238
Phone (916) 758-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180214000056 CO Part A Provider - Skilled Nursing Facility 5294095113 Practice locations: Sacramento, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114439262. Details of each certification follow.

Skilled nursing facility certification: CCN 555913

Legal name
AHC HEALTHCARE OF SACRAMENTO LLC
Doing business as
ADVANCED HEALTH CARE OF SACRAMENTO
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Aug 26, 2019
Last certification
Aug 9, 2024
Beds
40
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Dec 9, 2020 in CA
Enrollment address
1411 Expo Pkwy
Sacramento, CA 95815-4230
Nursing home name
ADVANCED HEALTH CARE OF SACRAMENTO
Affiliated entity
ADVANCED HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Advanced Health Care of SacramentoCCN 555913 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
For profit - Limited Liability company
Certified
Aug 26, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4039.3 residents per day on average
Chain
Advanced Health Care26 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 12

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

NameRoleSinceShare
Karen Gail Miller Irrev TR Fbo Zane Miller Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
Ashkan Javaheri Individual Contracted Managing EmployeeMD; Jan 1, 2022
Advanced Health Care - Larry H Miller Corporation Organization, Sandy, UT Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 100%
New Ahc Holdings, LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 31, 2023 100%
The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
The G&H Miller Utah Trust Dated February 26, 2019 Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
The Gail Miller GST Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 70%
The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
Jonathan Walker Individual W-2 Managing EmployeeAdministrator Jan 2, 2018
The Miller Utah Trust, Dated August 22, 2019 Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
The RNC Opportunity Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5%
Nathan C Oxnam Individual Corporate OfficerPresident Jan 1, 2024

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 40

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

View all 40

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1114439262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154238",
            "telephone_number": "916-758-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154238",
            "telephone_number": "916-758-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC HEALTHCARE OF SACRAMENTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "OXNAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-622-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Sainte Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.