Organization Active NPI

Village SNF Operations, LLC

Doing business as Village Health Care

  • Skilled Nursing Facility
  • Gresham, OR
National Provider Identifier
1396576617
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VILLAGE SNF OPERATIONS HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 385068 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 3, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10670.8 residents per day on average
Chain
Evergreen Healthcare Group44 facilities in the chain
Penalties (3 years)
2Fines totaling $22,695

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
38D0621975Village SNF Operations, LLC3955 SE 182ND, Gresham, OR 97030Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Margo Rutledge Individual Operational/Managerial Control Mar 31, 2025
Adp of the SNF Mar 31, 2025
Village SNF Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Dec 1, 2024 100%
Village SNF Operations LLC Organization, Lakewood, NJ LLC, For-profit Operational/Managerial Control Dec 1, 2024
Adp of the SNF Jun 27, 2025
Indirect Ownership Interest Aug 31, 2023
MB Village Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2%
Couve Healthcare Consulting LLC Organization, Vancouver, WA LLC, Management services company, Consulting firm Operational/Managerial Control Dec 1, 2024
Adp of the SNF Jun 27, 2025
Village SNF Consulting LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Joel Strulovics Individual Indirect Ownership Interest Dec 1, 2024 2.25%
JS Village LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2.25%
Couve Financial Services LLC Organization, Vancouver, WA LLC, Management services company, Chain home office Operational/Managerial Control Dec 1, 2024
Adp of the SNF Jun 27, 2025
Yh Village Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 5%
Stephen Apfel Individual Indirect Ownership Interest Dec 1, 2024 2%
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2%
Village SNF Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2024
Chaim Herzka Individual Indirect Ownership Interest Dec 1, 2024 2%
Individual Indirect Ownership Interest Dec 1, 2024 2%
CZH Village Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2%
Yehuda Herz Individual Indirect Ownership Interest Dec 1, 2024 5%
Individual Indirect Ownership Interest Feb 1, 2024 2.25%
Gefen Village LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Dec 1, 2024 2%
Yitzchok Yenowitz Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 25%
Yisroel E Herzka Individual Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 59.75%
Village SNF Realty LLC Organization, Gresham, OR LLC Adp of the SNF Jun 27, 2025
Witzcorp LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 25%
Village Opco Manager LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Dakota Veach Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Christopher R Morris Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Shimon Spielman Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 2%
CH Village Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 1, 2024
Indirect Ownership Interest Dec 1, 2024 59.75%
Jason Odenthal Individual Operational/Managerial Control Dec 1, 2024
Managing Control - Governing BodyDivisional Vice President 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.

Facilities with the same owner 51

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

View all 51

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

Verify at the official NPI Registry.