Organization Active NPI

SNF Omaha Operating Company, LLC

  • Skilled Nursing Facility
  • Omaha, NE
National Provider Identifier
1487076790
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SNF OMAHA OPERATING COMPANY, LLC
Practice address
1131 Papillion Pky
Omaha, NE 68154-4651
Phone
(402) 934-7500
Fax
(402) 934-7560
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Anna Haynes
Title
Cfo
Phone
(503) 542-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1131 Papillion Pky
Omaha, NE 68154-4651

Mailing address

1131 Papillion Parkway
Omaha, NE 68154-4651
Phone (402) 670-8785

Other names 1

  • Old Mill Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140221001603 NE Part A Provider - Skilled Nursing Facility 7618107418 Practice locations: Omaha, NE

Skilled nursing facility certification: CCN 285289

Legal name
SNF OMAHA OPERATING COMPANY, LLC
Doing business as
OLD MILL REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 6, 2014
Last certification
Apr 10, 2025
Beds
44
Ownership / control type
Corporation
Multi-facility organization
Promontory Healthcare
Organization structure
LLCProprietary
Enrollment address
1131 Papillion Parkway
Omaha, NE 68154-4651
Nursing home name
OLD MILL REHABILITATION
Affiliated entity
PROMONTORY HEALTHCARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Old Mill RehabilitationCCN 285289
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 6, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4437.2 residents per day on average
Chain
Promontory Healthcare Management2 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1131 Papillion Pkwy
Omaha, NE 68154
Phone (402) 934-7500

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
Individual Direct Ownership Interest Oct 1, 2014 4%
Michele Dein Individual Operational/Managerial Control Jun 1, 2017
Adp of the SNF Apr 19, 2025
Promontory Healthcare Management LLC Organization, Portland, OR LLC, Management services company, Chain home office Operational/Managerial Control Jan 1, 2020 50%
Adp of the SNF Apr 19, 2025
Hcii-1131 Papillion Parkway LLC Organization, Tampa, FL LLC Adp of the SNF Mar 1, 2019
Individual Direct Ownership Interest Oct 1, 2014 2%
Zamwell Group LLC Organization, Vancouver, WA LLC Direct Ownership Interest Oct 22, 2009 15%
Individual Direct Ownership Interest Oct 1, 2014 2%
Casey I Huntsman Individual Direct Ownership Interest Nov 20, 2013 7%
Organization, Houston, TX Direct Ownership Interest Oct 1, 2014 1%
James G Adamson Individual Indirect Ownership Interest Oct 1, 2014 47.54%
Anna J Haynes Individual Corporate OfficerCfo Jan 1, 2016 25%
Operational/Managerial ControlCfo Feb 17, 2016 50%
Individual Direct Ownership Interest Oct 1, 2014 2%
Gregory E Biddulph Individual Direct Ownership Interest Dec 20, 2013 7%
Promontory Healthcare Holdings LLC Organization, Vancouver, WA LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2021 40%
Organization, Heber City, UT Corporation Direct Ownership Interest Oct 1, 2014 2%
Promontory Healthcare Companies LLC Organization, Portland, OR LLC Direct Ownership Interest Oct 22, 2009 12%
Individual Direct Ownership Interest Oct 1, 2014 3%
Organization, San Antonio, TX LLC Direct Ownership Interest Oct 1, 2014 2%
Arman K Pajnigar Individual Adp of the SNF Apr 21, 2025
Individual Direct Ownership Interest Oct 1, 2014 1%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1487076790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 PAPILLION PARKWAY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544651",
            "telephone_number": "402-670-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 PAPILLION PKY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544651",
            "telephone_number": "402-934-7500",
            "fax_number": "402-934-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF OMAHA OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-542-2253"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Mill Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Mill Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.