Organization Active NPI

Martinez SNF Healthcare, LLC

Doing business as Alhambra Post Acute

  • Skilled Nursing Facility
  • Martinez, CA
National Provider Identifier
1427746601
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARTINEZ SNF HEALTHCARE, LLC
Doing business as
Alhambra Post Acute
Practice address
331 Ilene St
Martinez, CA 94553-2631
Phone
(925) 228-2020
NPI assigned
Apr 26, 2023
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 Primary

Addresses

Primary practice location

331 Ilene St
Martinez, CA 94553-2631

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Alhambra Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240309000355 CA Part A Provider - Skilled Nursing Facility 3870939127 Practice locations: Martinez, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427746601. Details of each certification follow.

Skilled nursing facility certification: CCN 555292

Legal name
MARTINEZ SNF HEALTHCARE LLC
Doing business as
ALHAMBRA POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 8, 1987
Last certification
Nov 21, 2024
Beds
44
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Incorporated
Apr 19, 2023 in CA
Enrollment address
331 Ilene St
Martinez, CA 94553-2631
Nursing home name
ALHAMBRA POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alhambra Post AcuteCCN 555292 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 8, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4442.1 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
05D0725383Alhambra Post Acute331 Ilene Street, Martinez, CA 94553Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jon D Olson Individual W-2 Managing Employee Jun 30, 2023
Operational/Managerial ControlAdministrator Jun 30, 2023
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerPresident/Ceo Jun 30, 2023
John T Mitchell Individual Corporate OfficerVice President/Asst Secretary Jun 30, 2023
Frederick G Apt Individual Corporate OfficerVice President/Asst Treasurer Jun 30, 2023
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Direct Ownership Interest Jun 30, 2023 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 50%
Corporate OfficerVice President/Cfo/Secretary Jun 30, 2023

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 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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1427746601",
    "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": "331 ILENE ST",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945532631",
            "telephone_number": "925-228-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ SNF HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alhambra Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alhambra Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.