Menlo Park SNF Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MENLO PARK SNF HEALTHCARE LLC

Doing business as

Menlo Park Post Acute

Practice address

745 NE 122ND Ave
Portland, OR 97230-2001

Phone

(503) 252-0241

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 1

Addresses

Other names 1

• Menlo Park Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Skilled nursing facility certification: CCN 385044

Legal name

MENLO PARK SNF HEALTHCARE LLC

Doing business as

MENLO PARK POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Nov 8, 2024

Beds

83

Ownership / control type

Corporation

Multi-facility organization

PACS

Organization structure

LLCProprietary

Enrollment address

745 NE 122ND Ave
Portland, OR 97230-2001

Nursing home name

MENLO PARK POST ACUTE

Affiliated entity

PACS GROUP

Listed as

Menlo Park Post AcuteCCN 385044 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8371.8 residents per day on average

Chain

Pacs Group274 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David P Larson, MD

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1992798599

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1427897040",
    "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": "745 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302001",
            "telephone_number": "503-252-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menlo Park Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matilda Martha Mengis, MD
• Chad Lewis Menicosy
• Laurie Menk Otto, ND
• Forest Menke-Thielman
• Dawn Leslie Menken
• Maria Menolasino, MS, CRC
• Menopause Northwest, LLC
• Mens Resource Center (Men's Resource Center/Women's Counseling Center)
• Mensch Therapy
• Mental Health & Addiction Therapy, LLC

• Skilled Nursing Facility in Portland, OR
• Providers in Portland, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.