NPIMap

Organization Active NPI

Greenville Skilled Nursing, LLC

Doing business as West Village Post Acute

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1609549948
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREENVILLE SKILLED NURSING, LLC
Doing business as
West Village Post Acute
Practice address
8 N Texas Ave
Greenville, SC 29611-5034
Phone
(864) 295-1331
NPI assigned
Jul 30, 2021
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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

8 N Texas Ave
Greenville, SC 29611-5034

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • West Village Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106001529 SC Part A Provider - Skilled Nursing Facility 9335530062 Practice locations: Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609549948. Details of each certification follow.

Skilled nursing facility certification: CCN 425102

Legal name
GREENVILLE SKILLED NURSING, LLC
Doing business as
WEST VILLAGE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 2, 1975
Last certification
Nov 15, 2024
Beds
132
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PROVIDENCE
Organization structure
LLCProprietary
Incorporated
Jun 29, 2021 in SC
Enrollment address
8 N Texas Ave
Greenville, SC 29611-5034
Nursing home name
WEST VILLAGE POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Village Post AcuteCCN 425102 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 2, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132124.5 residents per day on average
Chain
Pacs Group274 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2024 35.2%
Adp of the SNF Feb 15, 2024
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Managing Control - Governing BodySecretary Jan 1, 2024
Zoozen LLC Organization, Farmington, UT LLC, Holding company Adp of the SNF Feb 15, 2024
Justin Holck Individual Operational/Managerial Control Nov 9, 2025
Adp of the SNF Nov 9, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 2, 2024 100%
Adp of the SNF Feb 15, 2024
Elizabeth Mauldin Individual Operational/Managerial Control Aug 22, 2024
Adp of the SNF Aug 22, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Adp of the SNF Feb 15, 2024
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Adp of the SNF Sep 1, 2021
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Managing Control - Governing BodyPresident, Manager Jan 1, 2024
Kerry Wheeler Individual Operational/Managerial Control Sep 1, 2021
Adp of the SNF Sep 1, 2021
8 North Texas Avenue LLC Organization, Farmington, UT LLC Adp of the SNF Feb 15, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Adp of the SNF Feb 15, 2024
Truist Bank Organization, Charlotte, NC Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jul 16, 2024 100%
Adp of the SNF Nov 21, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Sep 9, 2024 35.2%
Corporate OfficerCfo (Pacs Group, Inc.) Sep 3, 2025
Adp of the SNF Feb 15, 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 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": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1609549948",
    "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": "8 N TEXAS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115034",
            "telephone_number": "864-295-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE SKILLED NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": "West Village Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Village Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.