Organization Active NPI

West Hills Convalescent Center Limited Partnership

Doing business as West Hills Health & Rehabilitation

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1114969912
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NO NUMBER ASSIGNED Issued in OR
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
802405MedicaidOR
992470OtherPROVIDENCE HEALTH PLAN

Other names 1

  • West Hills Health & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherProprietary
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 & RehabilitationCCN 385112 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
May 7, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
18094.5 residents per day on average
Chain
The Goodman Group9 facilities in the chain
Penalties (3 years)
1Fines totaling $12,659

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0874511West Hills Convalescent Center Limited Partnership5701 SW Multnomah Boulevard, Portland, OR 97219Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Wendy E Brown Individual 5% Or Greater Indirect Ownership InterestPartner of Werner Ventures Limited Jan 1, 1994 5.21%
Limited Partnership InterestPartner of Werner Ventures Limited Jan 1, 1994 5.21%
Randall W Benson Individual Corporate OfficerTreasurer of General Partner Jun 26, 2016 33.33%
Denise Gould Individual W-2 Managing EmployeeExecutive Director Jun 5, 2023 100%
John B Goodman Enterprises Inc Organization, Chaska, MN Corporation General Partnership Interest Apr 4, 1990 1%
Werner Ventures Limited Partnership Organization, Los Angeles, CA 5% Or Greater Direct Ownership Interest Jan 1, 1994 10.43%
Limited Partnership Interest Jan 1, 1994 10.43%
Clinton V Knacke Individual Corporate OfficerChief Financial Officer Oct 12, 2022 100%
Jeffery R Werner Individual 5% Or Greater Indirect Ownership InterestPartner of Werner Ventures Limited Jan 1, 1994 5.21%
Limited Partnership InterestPartner of Werner Ventures Limited Jan 1, 1994 5.21%
Craig E Edinger Individual Corporate OfficerPresident of General Partner Oct 11, 2016 33.33%
OtherPresident of Home Office Administra Oct 11, 2016
John B. Goodman 2006 Irrv Grantor TR Organization, Chaska, MN 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 Organization, Chaska, MN Created for acquisition 5% Or Greater Direct Ownership Interest Apr 4, 1990 100%
The Goodman Group LLC Organization, Chaska, MN LLC Other Jan 1, 2007
Daiya Healthcare PLLC Organization, Bellevue, WA LLC Other Jul 1, 2020
Denise a Olson Individual Corporate OfficerSecretary of General Partner Sep 16, 2013 33.33%
The Goodman Group Properties LLC Organization, Chaska, MN LLC 5% Or Greater Direct Ownership Interest Jan 1, 2007 12.05%
Limited Partnership Interest Jan 1, 2007 12.05%
James a Weichert Individual Corporate DirectorDirector of General Partner 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.

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

Sources for this page

Verify at the official NPI Registry.