Active NPI
Village SNF Operations, LLC
Doing business as Village Health Care
- Skilled Nursing Facility
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VILLAGE SNF OPERATIONS, LLC
- Doing business as
- Village Health Care
- Practice address
- 3955 SE 182ND Ave
Gresham, OR 97030-5036 - Phone
- (360) 837-0400
- Fax
- (360) 967-0022
- NPI assigned
- Aug 8, 2024
- Last updated
- Sep 5, 2024
- Organization subpart
- Yes
- Parent organization
- VILLAGE SNF OPERATIONS HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yitzchok Yenowitz
- Title
- Authorized Official
- Phone
- (732) 769-8877
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Registered Respiratory Therapist | 227900000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
3955 SE 182ND Ave
Gresham, OR 97030-5036
Mailing address
4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 837-0400
Other names 1
- Village Health Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240831000115 | OR | Part A Provider - Skilled Nursing Facility | 0446799696 | Practice locations: Gresham, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396576617. Details of each certification follow.
Skilled nursing facility certification: CCN 385068
- Legal name
- VILLAGE SNF OPERATIONS LLC
- Doing business as
- VILLAGE HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 3, 1967
- Last certification
- Feb 3, 2025
- Beds
- 106
- Ownership / control type
- Corporation
- Multi-facility organization
- Evergreen Healthcare Group
- Organization structure
- LLC
- Enrollment address
- 3955 SE 182ND Ave
Gresham, OR 97030-5036 - Nursing home name
- VILLAGE HEALTH CARE
- Affiliated entity
- EVERGREEN HEALTHCARE GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Village Health Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 3, 1967
- Medicare certification status
- Active
- Certified beds
- 106
- Chain
- Evergreen Healthcare Group
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 38D0621975 | Village SNF Operations, LLC | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 29
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 |
|---|---|---|---|
| Margo Rutledge | Operational/Managerial Control | Mar 31, 2025 | |
| Adp of the SNF | Mar 31, 2025 | ||
| Village SNF Operations Holdings LLC | Direct Ownership Interest | Dec 1, 2024 | 100% |
| Village SNF Operations LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Indirect Ownership Interest | Aug 31, 2023 | ||
| MB Village Operations Holdings LLC | Indirect Ownership Interest | Dec 1, 2024 | 2% |
| Couve Healthcare Consulting LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Village SNF Consulting LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Joel Strulovics | Indirect Ownership Interest | Dec 1, 2024 | 2.25% |
| JS Village LLC | Indirect Ownership Interest | Dec 1, 2024 | 2.25% |
| Couve Financial Services LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Jun 27, 2025 | ||
| Yh Village Holdings LLC | Indirect Ownership Interest | Dec 1, 2024 | 5% |
| Stephen Apfel | Indirect Ownership Interest | Dec 1, 2024 | 2% |
| Indirect Ownership Interest | Dec 1, 2024 | 2% | |
| Village SNF Realty Holdings LLC | Adp of the SNF | Dec 1, 2024 | |
| Chaim Herzka | Indirect Ownership Interest | Dec 1, 2024 | 2% |
| Indirect Ownership Interest | Dec 1, 2024 | 2% | |
| CZH Village Operations Holdings LLC | Indirect Ownership Interest | Dec 1, 2024 | 2% |
| Yehuda Herz | Indirect Ownership Interest | Dec 1, 2024 | 5% |
| Indirect Ownership Interest | Feb 1, 2024 | 2.25% | |
| Gefen Village LLC | Indirect Ownership Interest | Dec 1, 2024 | 2% |
| Yitzchok Yenowitz | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Indirect Ownership Interest | Dec 1, 2024 | 25% | |
| Yisroel E Herzka | Adp of the SNF | Dec 1, 2024 | |
| Indirect Ownership Interest | Dec 1, 2024 | 59.75% | |
| Village SNF Realty LLC | Adp of the SNF | Jun 27, 2025 | |
| Witzcorp LLC | Adp of the SNF | Dec 1, 2024 | |
| Indirect Ownership Interest | Dec 1, 2024 | 25% | |
| Village Opco Manager LLC | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Dakota Veach | Operational/Managerial Control | Feb 10, 2025 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Christopher R Morris | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Shimon Spielman | Operational/Managerial Control | Dec 1, 2024 | |
| Adp of the SNF | Dec 1, 2024 | ||
| Indirect Ownership Interest | Dec 1, 2024 | 2% | |
| CH Village Holdings LLC | Adp of the SNF | Dec 1, 2024 | |
| Indirect Ownership Interest | Dec 1, 2024 | 59.75% | |
| Jason Odenthal | Operational/Managerial Control | Dec 1, 2024 | |
| Managing Control - Governing Body | Dec 1, 2024 | ||
| Adp of the SNF | Dec 1, 2024 |
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
- Beaverton, OR
- NPI 1699960369
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 51
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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- Skilled Nursing Facility
- Hillsboro, OR
- NPI 1861106148
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Independence Health & Rehabilitation Center
- Skilled Nursing Facility
- Independence, OR
- NPI 1598479883
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba La Grande Post Acute Rehabilitation
- Skilled Nursing Facility
- La Grande, OR
- NPI 1225742513
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Milton Freewater Health & Rehabilitation
- Skilled Nursing Facility
- Milton Freewater, OR
- NPI 1861106155
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Portland Health & Rehabilitation Center
- Skilled Nursing Facility
- Portland, OR
- NPI 1104530492
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba The Dalles Health & Rehabilitation Center
- Skilled Nursing Facility
- The Dalles, OR
- NPI 1013621309
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Windsor Health & Rehabilitation
- Skilled Nursing Facility
- Salem, OR
- NPI 1194439489
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Alaska Gardens Health and Rehabilitation Center
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1033795315
Couve Healthcare Consulting LLC
-
dba Americana Health & Rehabilitation Center
- Skilled Nursing Facility
- Longview, WA
- NPI 1528772787
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Aspen Meadows Health & Rehabilitation Center
- Skilled Nursing Facility
- Billings, MT
- NPI 1760196182
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Buena Vista Healthcare
- Skilled Nursing Facility
- Colville, WA
- NPI 1972217131
Couve Financial Services LLC, Couve Healthcare Consulting LLC
-
dba Canterbury House
- Skilled Nursing Facility
- Auburn, WA
- NPI 1679287841
Couve Financial Services LLC, Couve Healthcare Consulting LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1396576617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 NE 77TH AVE STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626736",
"telephone_number": "360-837-0400",
"fax_number": "360-967-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 SE 182ND AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305036",
"telephone_number": "360-837-0400",
"fax_number": "360-967-0022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE SNF OPERATIONS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VILLAGE SNF OPERATIONS HOLDINGS, LLC",
"enumeration_date": "2024-08-08",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "YENOWITZ",
"authorized_official_first_name": "YITZCHOK",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "732-769-8877"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Village Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.