Organization Active NPI

Orchard View SNF Healthcare LLC

  • Skilled Nursing Facility
  • Lewiston, ID
National Provider Identifier
1225877871
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ORCHARD VIEW SNF HEALTHCARE LLC
Practice address
1014 Burrell Ave
Lewiston, ID 83501-5472
Phone
(208) 743-4558
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Alicia Torres-Cepeda
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1014 Burrell Ave
Lewiston, ID 83501-5472

Mailing address

1014 Burrell Ave
Lewiston, ID 83501-5472

Other names 1

  • Orchard View Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206000849 ID Part A Provider - Skilled Nursing Facility 9638605280 Practice locations: Lewiston, ID

Skilled nursing facility certification: CCN 135103

Legal name
ORCHARD VIEW SNF HEALTHCARE LLC
Doing business as
ORCHARD VIEW POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 6, 1988
Last certification
Oct 11, 2024
Beds
127
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACs
Organization structure
LLCProprietary
Incorporated
May 9, 2024 in ID
Enrollment address
1014 Burrell Ave
Lewiston, ID 83501-5472
Nursing home name
ORCHARD VIEW POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Orchard View Post AcuteCCN 135103
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 6, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12769.8 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $16,790

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
13D0521118Orchard View Post Acute1014 Burrell Ave, Lewiston, ID 83501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Gregory Bodene Individual Operational/Managerial Control Dec 9, 2024
Adp of the SNF Aug 14, 2025
Jason H Murray Individual Indirect Ownership Interest May 9, 2024 35.2%
John T Mitchell Individual Corporate OfficerSecretary Feb 10, 2021
Organization, Hunt Valley, MD LLC Adp of the SNF Aug 1, 2024
Thomas R Strobel Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC 5% Or Greater Direct Ownership Interest May 9, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Heidi Richmond Individual Operational/Managerial Control Sep 1, 2024
Joshua O Jergensen Individual Corporate OfficerPresident, Manager Aug 1, 2025
Pacs Group, Inc. Organization, Farmington, UT Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Mark D Hancock Individual Indirect Ownership Interest May 9, 2024 35.2%

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 186

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

View all 186

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1225877871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015472",
            "telephone_number": "208-743-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD VIEW SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "TORRES-CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard View Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.