NPIMap

Organization Active NPI

Keizer Nursing & Rehab Center LLC

  • Skilled Nursing Facility
  • Keizer, OR
National Provider Identifier
1346958717
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KEIZER NURSING & REHAB CENTER LLC
Practice address
4062 Arleta Ave NE
Keizer, OR 97303-4758
Phone
(503) 390-2271
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Donald J. Knox
Title
Ceo
Phone
(740) 359-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4062 Arleta Ave NE
Keizer, OR 97303-4758

Mailing address

10401 Linn Station Rd Ste 300
Louisville, KY 40223-3825
Phone (270) 336-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120000444 OR Part A Provider - Skilled Nursing Facility 3971974486 Practice locations: Keizer, OR

Skilled nursing facility certification: CCN 385241

Legal name
KEIZER NURSING & REHAB CENTER LLC
Doing business as
KEIZER NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1994
Last certification
May 9, 2025
Beds
49
Ownership / control type
Corporation
Multi-facility organization
Volare HCM
Most recent change of ownership
Mar 1, 2023
Organization structure
LLCProprietary
Incorporated
Aug 1, 2022 in OR
Enrollment address
4062 Arleta Ave NE
Keizer, OR 97303-4758
Nursing home name
KEIZER NURSING AND REHABILITATION
Affiliated entity
VOLARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Keizer Nursing and RehabilitationCCN 385241
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4944.9 residents per day on average
Chain
Volare Health16 facilities in the chain
Penalties (3 years)
1Fines totaling $0

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
38D0625758Keizer Nursing & Rehabilitation Center4062 Arleta Ave NE, Keizer, OR 97303Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

4062 Arleta Ave NE
Keizer, OR 97303
Phone (503) 390-2271

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Individual Adp of the SNF Mar 1, 2023
Sarah E Dunham Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Pac 12 Opco Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Individual Adp of the SNF Mar 18, 2024
Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 61.67%
Adp of the SNF Mar 1, 2023
Brian Smith Individual Corporate OfficerChief Financial Officer Mar 27, 2023 100%
Adp of the SNF Mar 27, 2023
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Pac 12 Pinnacle Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 69.17%
Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Kandis Hanson Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Oct 28, 2024
Knox Healthcare Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Individual Adp of the SNF Feb 24, 2025
Chaim Hagar Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2023 30.83%
Adp of the SNF Mar 1, 2023
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Volare Health LLC Organization, Louisville, KY Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Aug 19, 2025
Organization, Hackensack, NJ For-profit Adp of the SNF Mar 31, 2025
Individual Adp of the SNF Mar 1, 2023
Alexander Hagler Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24%
Donald Knox Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Corporate OfficerChief Executive Officer Mar 1, 2023 100%
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Keizer Propco LLC Organization, Louisville, KY Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2023 100%
Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 3.42%
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Eliezer Schwartz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 34.25%
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023

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 15

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

View all 15

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1346958717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233825",
            "telephone_number": "270-336-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 ARLETA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034758",
            "telephone_number": "503-390-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIZER NURSING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-359-5401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.