NPIMap

Organization Active NPI

Goodlettsville SNF Healthcare LLC

  • Skilled Nursing Facility
  • Goodlettsville, TN
National Provider Identifier
1265269666
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GOODLETTSVILLE SNF HEALTHCARE LLC
Doing business as
ALTA HEIGHTS POST ACUTE
Practice address
813 S Dickerson Rd
Goodlettsville, TN 37072-1761
Phone
(615) 859-6600
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

813 S Dickerson Rd
Goodlettsville, TN 37072-1761

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • ALTA HEIGHTS POST ACUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113000675 TN Part A Provider - Skilled Nursing Facility 0345726030 Practice locations: Goodlettsville, TN

Skilled nursing facility certification: CCN 445460

Legal name
GOODLETTSVILLE SNF HEALTHCARE LLC
Doing business as
ALTA HEIGHTS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2002
Last certification
Feb 27, 2025
Beds
90
Ownership / control type
Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Enrollment address
813 S Dickerson Rd
Goodlettsville, TN 37072-1761
Nursing home name
ALTA HEIGHTS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alta Heights Post AcuteCCN 445460 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9080.3 residents per day on average
Chain
Pacs Group274 facilities in the chain

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
44D0981036Goodlettsville SNF Healthcare LLC813 S Dickerson Road, Goodlettsville, TN 37072Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Branch Banking & Trust Company Organization, Charlotte, NC Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jan 1, 2025 100%
Christopher Rains Individual Managing Control - Governing BodyMaintenance Director Jan 1, 2025
Jason H Murray Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jan 1, 2025 35.2%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2025
Gregory W Lovering Individual Managing Control - Governing BodyDirector of Nursing Jan 1, 2025
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Millard D Collins Individual Managing Control - Governing BodyMedical Director Jan 1, 2025
Adp of the SNF Jan 30, 2025
Benjamin Anderson Individual Operational/Managerial Control Jan 1, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Sep 11, 2025
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Adp of the SNF Jan 22, 2025
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2025
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Acie S Garret Individual Managing Control - Governing BodyDirector of Rehabilitation Jan 1, 2025
Brysen Jordan Individual Managing Control - Governing BodyMedical Records Director Jan 1, 2025
Truist Bank Organization, Charlotte, NC Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jan 1, 2025 100%
Adp of the SNF Jan 22, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jan 1, 2025 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

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1265269666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S DICKERSON RD",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721761",
            "telephone_number": "615-859-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLETTSVILLE SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA HEIGHTS POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.