NPIMap

Organization Active NPI

Campus Community Healthcare, LLC

Doing business as Arvin Post Acute

  • Skilled Nursing Facility
  • Arvin, CA
National Provider Identifier
1689380370
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAMPUS COMMUNITY HEALTHCARE, LLC
Doing business as
Arvin Post Acute
Practice address
323 Campus Dr
Arvin, CA 93203-1047
Phone
(661) 854-4475
NPI assigned
Jan 25, 2023
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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

323 Campus Dr
Arvin, CA 93203-1047

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Arvin 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
O20230502003189 CA Part A Provider - Skilled Nursing Facility 9335504026 Practice locations: Arvin, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689380370. Details of each certification follow.

Skilled nursing facility certification: CCN 555170

Legal name
CAMPUS COMMUNITY HEALTHCARE LLC
Doing business as
ARVIN POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 30, 1984
Last certification
Dec 19, 2024
Beds
81
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jan 11, 2023 in CA
Enrollment address
323 Campus Dr
Arvin, CA 93203-1047
Nursing home name
ARVIN POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arvin Post AcuteCCN 555170 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 30, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8176.5 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $62,968

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

323 Campus Dr
Arvin, CA 93203
Phone (661) 363-8127

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Todd a Farrer Individual Contracted Managing EmployeeMD; Mar 1, 2023
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Kimball Allowitz Individual W-2 Managing EmployeeAdministrator Mar 1, 2023
Operational/Managerial ControlAdministrator Mar 1, 2023
Frederick G Apt Individual Corporate OfficerTreasurer Feb 10, 2021
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%
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 Feb 10, 2021

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": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1689380370",
    "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": "323 CAMPUS DR",
            "city": "ARVIN",
            "state": "CA",
            "postal_code": "932031047",
            "telephone_number": "661-854-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "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": "Arvin Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arvin Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvin, CA

Sources for this page

Verify at the official NPI Registry.