NPIMap

Organization Active NPI

Carson City Community Healthcare, LLC

Doing business as Northstar Post Acute

  • Skilled Nursing Facility
  • Carson City, NV
National Provider Identifier
1306657937
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARSON CITY COMMUNITY HEALTHCARE, LLC
Doing business as
Northstar Post Acute
Practice address
2898 US Highway 50 E
Carson City, NV 89701-2811
Phone
(000) 000-0000
NPI assigned
Jan 14, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2898 US Highway 50 E
Carson City, NV 89701-2811

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Northstar Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121001707 NV Part A Provider - Skilled Nursing Facility 6709363765 Practice locations: Carson City, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306657937. Details of each certification follow.

Skilled nursing facility certification: CCN 295023

Legal name
CARSON CITY COMMUNITY HEALTHCARE, LLC
Doing business as
NORTHSTAR POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1973
Last certification
Dec 19, 2024
Beds
73
Ownership / control type
Corporation
Multi-facility organization
PACS Healthcare
Organization structure
LLCProprietary
Enrollment address
2898 US Highway 50 E
Carson City, NV 89701-2811
Nursing home name
NORTHSTAR POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northstar Post AcuteCCN 295023 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7359.5 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $70,296
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 35.2%
John T Mitchell Individual Operational/Managerial Control Aug 1, 2025
Managing Control - Governing BodySecretary Aug 1, 2025
Mark Daryl Canty Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Matthew Rhodes Individual Operational/Managerial Control Aug 3, 2025
Adp of the SNF Aug 3, 2025
CSV 4 Carson SNF, LLC Organization, Baltimore, MD LLC Adp of the SNF Aug 1, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2025 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2025 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Adp of the SNF Aug 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 Aug 1, 2025 100%
Joshua O Jergensen Individual Operational/Managerial Control Aug 1, 2025
Managing Control - Governing BodyPresident, Manager Aug 1, 2025
Samantha Tilley Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Truist Bank Organization, Charlotte, NC Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Aug 1, 2025 100%
Adp of the SNF Aug 1, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Aug 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 2

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": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1306657937",
    "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": "2898 US HIGHWAY 50 E",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897012811",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON CITY COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northstar Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.