NPIMap

Organization Active NPI

Hanfordidence Opco, LLC

Doing business as Hanford Post Acute

  • Skilled Nursing Facility
  • Hanford, CA
National Provider Identifier
1629527429
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HANFORDIDENCE OPCO, LLC
Doing business as
Hanford Post Acute
Practice address
1007 W Lacey Blvd
Hanford, CA 93230-4331
Phone
(559) 582-2871
NPI assigned
Sep 22, 2016
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Alicia Cepeda
Title
Senior Legal/Risk Manager
Phone
(385) 342-5175

Specialties & licenses 1

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

Addresses

Primary practice location

1007 W Lacey Blvd
Hanford, CA 93230-4331

Mailing address

90 S 400 W Ste 700
Salt Lake City, UT 84101-1431

Other names 1

  • Hanford 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
O20161111002032 CA Part A Provider - Skilled Nursing Facility 5597044677 Practice locations: Hanford, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629527429. Details of each certification follow.

Skilled nursing facility certification: CCN 056288

Legal name
HANFORDIDENCE OPCO LLC
Doing business as
HANFORD POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1973
Last certification
Jan 24, 2025
Beds
124
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jan 1, 2017
Organization structure
LLCProprietary
Incorporated
Jul 1, 2016 in CA
Enrollment address
1007 W Lacey Blvd
Hanford, CA 93230-4331
Nursing home name
HANFORD POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hanford Post AcuteCCN 056288 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12485.7 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
05D0643453Hanford Post Acute1007 W Lacey Blvd, Hanford, CA 93230Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

90 S 400 W
Ste 700
Salt Lake City, UT 84101

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Parker Bennett Individual W-2 Managing EmployeeAd; Sep 1, 2023
Operational/Managerial ControlAdministrator Sep 1, 2023
Providence Group North LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Stephen M Grossman Individual Contracted Managing EmployeeMD; Jan 2, 2015
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
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 Apr 15, 2024 41.8%
Corporate OfficerCeo Jan 1, 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 80

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

View all 80

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1629527429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S 400 W STE 700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304331",
            "telephone_number": "559-582-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANFORDIDENCE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SENIOR LEGAL/RISK MANAGER",
        "authorized_official_telephone_number": "385-342-5175"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanford Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hanford Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.