NPIMap

Organization Active NPI

Mountain Communities Healthcare District

  • Skilled Nursing Facility
  • Weaverville, CA
National Provider Identifier
1154404010
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230000038 Issued in CA
Legal business name
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
Practice address
60 Easter Avenue
Weaverville, CA 96093-1229
Phone
(530) 623-5541
Fax
(530) 623-3920
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Aaron Rogers
Title
Chief Executive Officer
Phone
(530) 623-2687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230000038 CA Primary

Addresses

Primary practice location

60 Easter Avenue
Weaverville, CA 96093-1229

Mailing address

P.O. Box 1229
Weaverville, CA 96093-1229
Phone (530) 623-5541

Other identifiers 1

IdentifierTypeStateIssuer
LTC05923HMedicaidCA

Other names 1

  • Trinity Hospital Skilled Nursing Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170306001395 CA Part A Provider - Skilled Nursing Facility 9133227135 Practice locations: Weaverville, CA

Skilled nursing facility certification: CCN 555907

Legal name
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
Doing business as
TRINITY HOSPITAL SKILLED NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Sep 26, 2017
Last certification
Jul 31, 2024
Beds
13
Ownership / control type
Individual
Organization structure
GovernmentNon-profit
Enrollment address
60 Easter Ave
Weaverville, CA 96093-1229
Nursing home name
TRINITY HOSPITAL SKILLED NURSING FACILITY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Trinity Hospital Skilled Nursing FacilityCCN 555907
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Sep 26, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
1313.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Mountain Communities Healthcare District5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kelly J Simpson Individual Operational/Managerial Control Nov 9, 2009
Aaron Rogers Individual Corporate OfficerCeo Feb 10, 2015
Operational/Managerial Control Feb 10, 2015
Lynn Jungwirth Individual Corporate DirectorTreasurer Board Member Feb 28, 2012
Jerry Cousins Individual Corporate DirectorPresident Board Member Nov 1, 2007
Amanda Braxton Individual Corporate DirectorBoard Member Dec 2, 2016
Dero Forslund Individual Corporate DirectorClerk Board Member Dec 3, 2014
Mountain Communities Healthcare District Organization, Weaverville, CA Operational/Managerial Control Jan 26, 2017

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Hospital Swing BedWeaverville, CA, CCN 05Z315 Hospital Operational/Managerial Control Jul 1, 2007
Hayfork Community Health ClinicHayfork, CA, CCN 058646 Rural health clinic Operational/Managerial Control (100%) Dec 31, 2008

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 132

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 132

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1154404010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1229",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960931229",
            "telephone_number": "530-623-5541",
            "fax_number": "530-623-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EASTER AVENUE",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960931229",
            "telephone_number": "530-623-5541",
            "fax_number": "530-623-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-623-2687"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "230000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC05923H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weaverville, CA

Sources for this page

Verify at the official NPI Registry.