Active NPI
Porterville Convalescent, Inc.
Doing business as Porterville Convalescent Hospital
- Skilled Nursing Facility
- Porterville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 120000621
- Legal business name
- PORTERVILLE CONVALESCENT, INC.
- Doing business as
- Porterville Convalescent Hospital
- Practice address
- 1100 W Morton Ave
Porterville, CA 93257-1947 - Phone
- (559) 782-1509
- NPI assigned
- Nov 17, 2006
- Last updated
- Dec 19, 2025
- 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 Higbee
- Title
- Cfo
- Phone
- (559) 688-0288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 120000621 | CA | Primary |
Addresses
Primary practice location
1100 W Morton Ave
Porterville, CA 93257-1947
Mailing address
1100 W Morton Ave
Porterville, CA 93257-1947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55658G | Medicaid | CA |
Other names 1
- Porterville Convalescent Hospital
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050329000973 | CA | Part A Provider - Skilled Nursing Facility | 3072569482 | Practice locations: Porterville, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215001763. Details of each certification follow.
Skilled nursing facility certification: CCN 555658
- Legal name
- PORTERVILLE CONVALESCENT, INC.
- Doing business as
- PORTERVILLE CONVALESCENT HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 19, 1996
- Last certification
- Oct 17, 2024
- Beds
- 99
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 29, 2002 in CA
- Enrollment address
- 1100 West Morton Avenue
Porterville, CA 93257-1947 - Nursing home name
- RIVER WALK CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- River Walk Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 19, 1996
- Medicare certification status
- Active
- Certified beds
- 99
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryLocations
999 N M St
Tulare, CA 93274
Phone (559) 684-1001
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle Lawrence | Operational/Managerial Control | Oct 28, 2009 | |
| Kensett Moyle | 5% Or Greater Direct Ownership Interest | Apr 1, 2009 | 70% |
| Corporate Officer | Apr 1, 2009 | ||
| Corporate Director | Apr 1, 2009 | ||
| Barbra McClung | 5% Or Greater Direct Ownership Interest | Apr 1, 2009 | |
| Kensett Moyle | Corporate Officer | Apr 1, 2009 | |
| Operational/Managerial Control | Apr 1, 2009 | ||
| Patty Andrighetto | Operational/Managerial Control | Jul 16, 2011 | |
| Magnolia Health Corporation | Operational/Managerial Control | Apr 1, 2009 | 100% |
| Lindsey Moyle | Operational/Managerial Control | Apr 1, 2009 |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Merritt Manor Convalescent Hospital
- Skilled Nursing Facility
- Tulare, CA
- NPI 1316011851
Magnolia Health Corporation
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1215001763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W MORTON AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932571947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W MORTON AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932571947",
"telephone_number": "559-782-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERVILLE CONVALESCENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "HIGBEE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "559-688-0288"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "120000621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55658G",
"state": "CA"
}
],
"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",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Porterville Convalescent Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Porterville, CA
- Cleon Plummer, DDS
- Phillip Polster, OD
- Sherlyn Ricablanca Porter, PPS., LCSW
- Porterville Adult Day Health Care
- Porterville Community Physicians Inc
- Porterville Express Specialty Pharmacy, LLC
- Porterville Express Specialty Pharmacy, LLC (Express Specialty Pharmacy)
- Porterville Halfway House (The Paar Center)
- Porterville Oncology Associates, Inc.
- Porterville Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.