NPIMap

Organization Active NPI

Centerville SNF Healthcare LLC

Doing business as Centerville Post Acute

  • Skilled Nursing Facility
  • Centerville, OH
National Provider Identifier
1407674153
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CENTERVILLE SNF HEALTHCARE LLC
Doing business as
Centerville Post Acute
Practice address
1001 E Alex Bell Rd
Centerville, OH 45459-2637
Phone
(937) 436-9700
NPI assigned
Oct 1, 2024
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

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

Addresses

Primary practice location

1001 E Alex Bell Rd
Centerville, OH 45459-2637

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • CENTERVILLE POST ACUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421002576 OH Part A Provider - Skilled Nursing Facility 8527583640 Practice locations: Centerville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407674153. Details of each certification follow.

Skilled nursing facility certification: CCN 366100

Legal name
CENTERVILLE SNF HEALTHCARE, LLC
Doing business as
CENTERVILLE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 14, 1997
Last certification
Mar 27, 2025
Beds
129
Ownership / control type
Corporation
Multi-facility organization
PACS
Most recent change of ownership
May 1, 2023
Organization structure
LLCProprietary
Enrollment address
1001 Alex Bell Road
Centerville, OH 45459
Nursing home name
CENTERVILLE POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Centerville Post AcuteCCN 366100 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 14, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129100.5 residents per day on average
Chain
Pacs Group274 facilities in the chain

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
36D0931410Centerville Post Acute1001 East Alex-Bell Road, Centerville, OH 45459Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
1001 E Alex Bell Road Oh Owner LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Gary J Palmer Individual Adp of the SNF Dec 1, 2024
SNF Oh Holdco LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Jason H Murray Individual Indirect Ownership Interest Dec 1, 2024 35.2%
John T Mitchell Individual Corporate Officer Dec 5, 2024
Managing Control - Governing BodySecretary Dec 1, 2024
Marianne Struck Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Integra Wip Member LLC Organization, New York, NY LLC Adp of the SNF Dec 1, 2024
Frederick G Apt Individual Corporate Officer Dec 1, 2024
Managing Control - Governing BodyPresident Dec 1, 2024
Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Well PM Holdco JV LLC Organization, Toledo, OH LLC, Holding company Adp of the SNF Dec 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
J & R Family Investments, LLC Organization, New York, NY LLC Adp of the SNF Dec 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Joshua O Jergensen Individual Corporate Officer Dec 1, 2024
Managing Control - Governing BodyPresident Dec 1, 2024
Welltower Op, LLC Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Holding company, Consulting firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 100%
Operational/Managerial Control Dec 1, 2024
Landau Family Investment Trust Organization, New York, NY Adp of the SNF Dec 1, 2024
Well Integra Master JV LLC Organization, Toledo, OH LLC Adp of the SNF Dec 1, 2024
Welltower, Inc Organization, Toledo, OH Corporation Adp of the SNF Dec 1, 2024
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2024 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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1407674153",
    "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": "1001 E ALEX BELL RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592637",
            "telephone_number": "937-436-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTERVILLE POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.