NPIMap

Organization Active NPI

West Valleyidence Opco, LLC

  • Skilled Nursing Facility
  • West Hills, CA
National Provider Identifier
1720464993
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST VALLEYIDENCE OPCO, LLC
Practice address
7057 Shoup Ave
West Hills, CA 91307-2335
Phone
(818) 348-8422
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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

7057 Shoup Ave
West Hills, CA 91307-2335

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • West Valley 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
O20151103000755 CA Part A Provider - Skilled Nursing Facility 2264742337 Practice locations: West Hills, CA

Skilled nursing facility certification: CCN 055443

Legal name
WEST VALLEYIDENCE OPCO, LLC
Doing business as
WEST VALLEY POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 10, 1968
Last certification
Sep 5, 2024
Beds
128
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Providence Group North LLC
Organization structure
LLCProprietary
Incorporated
Jun 8, 2015 in CA
Enrollment address
7057 Shoup Ave
West Hills, CA 91307-2335
Nursing home name
WEST VALLEY POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Valley Post AcuteCCN 055443
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 10, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12899.8 residents per day on average
Chain
Pacs Group274 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $71,200

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
05D1007119West Valley Post Acute7057 Shoup Ave, West Hills, CA 91307Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

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
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015 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
Providence Group North LLC Organization, Farmington, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 6, 2015 100%
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Edwardo Aguinaga Individual W-2 Managing EmployeeAdministrator Apr 17, 2017
Operational/Managerial ControlAdministrator Apr 17, 2017
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%

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 10

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": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1720464993",
    "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": "7057 SHOUP AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072335",
            "telephone_number": "818-348-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEYIDENCE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "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": "West Valley Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.