Organization Active NPI

HG Hillside LLC

  • Skilled Nursing Facility
  • McMinnville, OR
National Provider Identifier
1730889072
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HG HILLSIDE LLC
Practice address
400 NW Hillside Park Way
McMinnville, OR 97128
Phone
(503) 472-9534
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Andrew McDonald
Title
Cfo
Phone
(925) 353-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

400 NW Hillside Park Way
McMinnville, OR 97128

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (925) 924-7196

Other names 1

  • Village at Hillside Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324000623 OR Part A Provider - Skilled Nursing Facility 6406220912 Practice locations: McMinnville, OR

Skilled nursing facility certification: CCN 385269

Legal name
HG HILLSIDE, LLC
Doing business as
VILLAGE AT HILLSIDE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jul 22, 2005
Last certification
Jul 19, 2024
Beds
20
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HumanGood
Organization structure
LLCNon-profit
Enrollment address
400 NW Hillside Pkwy
McMinnville, OR 97128-5414
Nursing home name
VILLAGE AT HILLSIDE
Affiliated entity
HUMANGOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Village at HillsideCCN 385269
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 22, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2216.8 residents per day on average
Chain
Humangood17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 26

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

NameRoleSinceShare
Organization, Seattle, WA Financial institution, For-profit Adp of the SNF Feb 27, 2023
Logan Mohr Individual Operational/Managerial Control Jul 14, 2025
Adp of the SNF Jul 14, 2025
Deborah Gonzales Individual Operational/Managerial Control May 1, 2023
Stephanie Cook Individual Operational/Managerial Control Nov 16, 2023
Adp of the SNF Nov 13, 2023
William J Battison Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyBoard Member May 1, 2023
Hansen Hunter LLC Organization, Portland, OR LLC, For-profit Adp of the SNF May 1, 2023
Alan Griffith Individual Operational/Managerial Control Jun 30, 2019
Managing Control - Governing BodyBoard Member Jun 30, 2019
Heather Campbell Individual Operational/Managerial Control Oct 28, 2025
Adp of the SNF Oct 28, 2025
Baker Tilly US LLP Organization, Madison, WI For-profit Adp of the SNF Oct 15, 2024
Albert W Kelley Individual Operational/Managerial Control May 1, 2016
Managing Control - Governing BodyBoard Member May 1, 2016
John H. Cochrane Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyBoard of Directors May 1, 2023
Individual Adp of the SNF May 1, 2023
West Valley Nursing Homes Inc Organization, Duarte, CA Corporation, For-profit, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Adp of the SNF May 1, 2023
Michelle M Holmes Individual Operational/Managerial Control May 1, 2016
Managing Control - Governing BodyBoard Member May 1, 2016
Judith D Baker Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyBoard Member May 1, 2023
Herman Declan Brown Individual Managing Control - Governing BodyBoard Member May 1, 2023
HG Hillside, LLC Organization, Duarte, CA LLC, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2023 100%
Operational/Managerial Control May 1, 2023
Adp of the SNF Apr 13, 2026
Bethany J Ghassemi Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyBoard Member May 1, 2023
Gwen Vangelisto Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Nathan M Ruden Individual Operational/Managerial Control Sep 1, 2023
Adp of the SNF Sep 1, 2023
Baker Tilly Advisory Group LP Organization, Madison, WI For-profit Adp of the SNF Mar 21, 2025
Daniel Ogus Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyExecutive VP SNF Coo May 1, 2023
Andrew McDonald Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyChief Financial Officer/Treasure May 1, 2023
Humangood Organization, Duarte, CA Corporation, For-profit, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Adp of the SNF May 1, 2023
Robert M Williams Individual Operational/Managerial Control May 1, 2023
Managing Control - Governing BodyBoard Member May 1, 2023
Humangood Cornerstone Organization, Duarte, CA Corporation, For-profit, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2023 100%
Adp of the SNF May 1, 2023

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 14

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

View all 14

Practitioners & affiliated clinicians

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1730889072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "925-924-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW HILLSIDE PARK WAY",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HG HILLSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "925-353-8288"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village at Hillside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.