NPIMap

Organization Active NPI

Laurelhurst SNF Operations LLC

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1295521268
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAURELHURST SNF OPERATIONS LLC
Practice address
3060 SE Stark St
Portland, OR 97214-3053
Phone
(503) 535-4700
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3060 SE Stark St
Portland, OR 97214-3053

Mailing address

3060 SE Stark St
Portland, OR 97214-3053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250714000584 OR Part A Provider - Skilled Nursing Facility 7416462072 Practice locations: Portland, OR

Skilled nursing facility certification: CCN 385010

Legal name
LAURELHURST SNF OPERATIONS LLC
Doing business as
LAURELHURST POST ACUTE & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Mar 14, 2025
Beds
159
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
3060 SE Stark St
Portland, OR 97214-3053
Nursing home name
LAURELHURST POST ACUTE & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Laurelhurst Post Acute & RehabilitationCCN 385010
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
159103.9 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Penalties (3 years)
1Fines totaling $33,319
Ownership change
Changed ownership in the last 12 months

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
38D0858042Laurelhurst Post Acute and Rehabilitation3060 SE Stark St, Portland, OR 97214Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Organization, Woodmere, NY LLC Adp of the SNF May 20, 2025
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 47%
Adp of the SNF Jul 1, 2025
MJL 2024 Family Trust Organization, West Hempstead, NY Indirect Ownership Interest Jul 1, 2025 1.25%
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2025 44.7%
Adp of the SNF Jul 1, 2025
Individual Trustee of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025
Lansilh Irrv TR Organization, Woodmere, NY Indirect Ownership Interest Jul 1, 2025 2.38%
Oregon Healthcare Holdco LLC Organization, Portland, OR LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Operational/Managerial Control Jul 1, 2025
Laurelhurst Operations Holdings LLC Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 100%
JNL 2024 Fam TR Organization, West Hempstead, NY Indirect Ownership Interest Jul 1, 2025 1.25%
Individual Indirect Ownership Interest Jul 1, 2025 1%
Oeb 94 Holdings LLC Organization, Valley Stream, NY LLC, Holding company Indirect Ownership Interest Jul 1, 2025 1%
JML 1836 Holdings LLC Organization, West Hempstead, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 2.5%
Individual Indirect Ownership Interest Jul 1, 2025 1.2%
Tracie Poirier Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Shimon Idels Individual Corporate Officer Jul 1, 2025
Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Leuma Misili Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Individual Indirect Ownership Interest Jul 1, 2025 2.3%
Delilah 2626 Holdings LLC Organization, Woodmere, NY LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Jul 1, 2025 2.5%
Individual Trustee of the SNF Jul 1, 2025
Indirect Ownership Interest Jul 1, 2025 2.3%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jul 1, 2025 44.7%
Trustee of the SNF Jul 1, 2025
Adp of the SNF Jul 1, 2025
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2025 44.7%
Adp of the SNF Jul 1, 2025

Facilities with the same owner 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1295521268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053",
            "telephone_number": "503-535-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.