Active NPI
West Hills Convalescent Center Limited Partnership
Doing business as West Hills Health & Rehabilitation
- Skilled Nursing Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NO NUMBER ASSIGNED
- Legal business name
- WEST HILLS CONVALESCENT CENTER LIMITED PARTNERSHIP
- Doing business as
- West Hills Health & Rehabilitation
- Practice address
- 5701 SW Multnomah Blvd
Portland, OR 97219-3195 - Phone
- (503) 244-1107
- Fax
- (503) 244-8881
- NPI assigned
- Jun 13, 2006
- Last updated
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Weichert
- Title
- Authorized Official
- Phone
- (952) 361-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NO NUMBER ASSIGNED | OR | Primary |
Addresses
Primary practice location
5701 SW Multnomah Blvd
Portland, OR 97219-3195
Mailing address
1107 Hazeltine Blvd
Suite 200
Chaska, MN 55318-1009
Phone (952) 361-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802405 | Medicaid | OR | |
| 992470 | Other | PROVIDENCE HEALTH PLAN |
Other names 1
- West Hills Health & Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050805000294 | OR | Part A Provider - Skilled Nursing Facility | 5799714267 | Practice locations: Portland, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114969912. Details of each certification follow.
Skilled nursing facility certification: CCN 385112
- Legal name
- WEST HILLS CONVALESCENT CENTER LIMITED PARTNERSHIP
- Doing business as
- WEST HILLS HEALTH & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 7, 1970
- Last certification
- Apr 25, 2025
- Beds
- 180
- Ownership / control type
- Partnership
- Organization structure
- Other
- Incorporated
- Apr 4, 1990 in MN
- Enrollment address
- 5701 SW Multnomah Blvd
Portland, OR 97219-3195 - Nursing home name
- WEST HILLS HEALTH & REHABILITATION
- Affiliated entity
- THE GOODMAN GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- West Hills Health & Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- May 7, 1970
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- The Goodman Group
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0874511 | West Hills Convalescent Center Limited Partnership | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Wendy E Brown | 5% Or Greater Indirect Ownership Interest | Jan 1, 1994 | 5.21% |
| Limited Partnership Interest | Jan 1, 1994 | 5.21% | |
| Randall W Benson | Corporate Officer | Jun 26, 2016 | 33.33% |
| Denise Gould | W-2 Managing Employee | Jun 5, 2023 | 100% |
| John B Goodman Enterprises Inc | General Partnership Interest | Apr 4, 1990 | 1% |
| Werner Ventures Limited Partnership | 5% Or Greater Direct Ownership Interest | Jan 1, 1994 | 10.43% |
| Limited Partnership Interest | Jan 1, 1994 | 10.43% | |
| Clinton V Knacke | Corporate Officer | Oct 12, 2022 | 100% |
| Jeffery R Werner | 5% Or Greater Indirect Ownership Interest | Jan 1, 1994 | 5.21% |
| Limited Partnership Interest | Jan 1, 1994 | 5.21% | |
| Craig E Edinger | Corporate Officer | Oct 11, 2016 | 33.33% |
| Other | Oct 11, 2016 | ||
| John B. Goodman 2006 Irrv Grantor TR | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 | 55.01% |
| 5% Or Greater Indirect Ownership Interest | Feb 28, 2017 | 13.05% | |
| Limited Partnership Interest | Feb 28, 2017 | 55.01% | |
| West Hills Convalescent Center Limited Partnership | 5% Or Greater Direct Ownership Interest | Apr 4, 1990 | 100% |
| The Goodman Group LLC | Other | Jan 1, 2007 | |
| Daiya Healthcare PLLC | Other | Jul 1, 2020 | |
| Denise a Olson | Corporate Officer | Sep 16, 2013 | 33.33% |
| The Goodman Group Properties LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2007 | 12.05% |
| Limited Partnership Interest | Jan 1, 2007 | 12.05% | |
| James a Weichert | Corporate Director | Oct 1, 2016 | 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 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Village Health & Rehabilitation
- Skilled Nursing Facility
- Missoula, MT
- NPI 1811954662
John B. Goodman 2006 Irrv Grantor TR
-
dba Sabal Palms Health Care Center
- Skilled Nursing Facility
- Largo, FL
- NPI 1063440493
John B. Goodman 2006 Irrv Grantor TR, The Goodman Group Properties LLC
-
dba Riverside Health & Rehabilitation
- Skilled Nursing Facility
- Missoula, MT
- NPI 1356308399
John B. Goodman 2006 Irrv Grantor TR
-
dba Gardens at Terracina Health & Rehabilitation
- Skilled Nursing Facility
- Naples, FL
- NPI 1205311305
John B. Goodman 2006 Irrv Grantor TR
-
dba Westchester Gardens Health & Rehabilitation
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1184667941
John B. Goodman 2006 Irrv Grantor TR, The Goodman Group Properties LLC, Werner Ventures Limited Partnership
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": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1114969912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 HAZELTINE BLVD",
"address_2": "SUITE 200",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181009",
"telephone_number": "952-361-8000",
"fax_number": "952-361-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SW MULTNOMAH BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193195",
"telephone_number": "503-244-1107",
"fax_number": "503-244-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST HILLS CONVALESCENT CENTER LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "WEICHERT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "952-361-8000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "NO NUMBER ASSIGNED",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "802405",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLAN",
"identifier": "992470",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Hills Health & Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
- West Coast Endodontics, PC
- West Coast Wellness, LLC
- West End Dental (James A Krippaehne DMD)
- West Haven Chiropractic
- West Hills Allergy and Asthma Associates LLC
- West Hills Gastroenterology Associates PC
- West Hills Gastroenterology Equipment Corp (The Oregon Clinic Endoscopy Center - West)
- West Hills Village Limited Partnership (West Hills Village)
- West Hills Vision Care, LLC
- West Portland Chiropractic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.