Active NPI
Orchard View SNF Healthcare LLC
- Skilled Nursing Facility
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Acute
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 6, 1988
- Medicare certification status
- Active
- Certified beds
- 127
- Chain
- Pacs 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 |
|---|---|---|---|
| 13D0521118 | Orchard View Post Acute | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gregory Bodene | Operational/Managerial Control | Dec 9, 2024 | |
| Adp of the SNF | Aug 14, 2025 | ||
| Jason H Murray | Indirect Ownership Interest | May 9, 2024 | 35.2% |
| John T Mitchell | Corporate Officer | Feb 10, 2021 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Thomas R Strobel | Operational/Managerial Control | Sep 1, 2024 | |
| Adp of the SNF | Sep 1, 2024 | ||
| Providence Group NH, LLC | 5% Or Greater Direct Ownership Interest | May 9, 2024 | 100% |
| Pacs Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 100% |
| Heidi Richmond | Operational/Managerial Control | Sep 1, 2024 | |
| Joshua O Jergensen | Corporate Officer | Aug 1, 2025 | |
| Pacs Group, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 100% |
| Mark D Hancock | 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.
-
- Internal Medicine Physician
- Clarkston, WA
- NPI 1578581740
Adp of the SNF, Operational/Managerial Control
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-
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-
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.