NPIMap

Organization Active NPI

Timberline SNF Healthcare LLC

Doing business as Timberline Post Acute

  • Skilled Nursing Facility
  • Albany, OR
National Provider Identifier
1740029164
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TIMBERLINE SNF HEALTHCARE LLC
Doing business as
Timberline Post Acute
Practice address
1023 6TH Ave SW
Albany, OR 97321-1917
Phone
(541) 926-8664
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 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
(801) 447-9829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1023 6TH Ave SW
Albany, OR 97321-1917

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Timberline Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250711002008 OR Part A Provider - Skilled Nursing Facility 8123533957 Practice locations: Albany, OR

Skilled nursing facility certification: CCN 385107

Legal name
TIMBERLINE SNF HEALTHCARE LLC
Doing business as
TIMBERLINE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 3, 1983
Last certification
Sep 27, 2024
Beds
67
Ownership / control type
Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Incorporated
May 10, 2024 in OR
Enrollment address
1023 6TH Ave SW
Albany, OR 97321-1917
Nursing home name
TIMBERLINE POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Timberline Post AcuteCCN 385107 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 3, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6760.5 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
38D0861338Timberline Post Acute1023 6TH Ave SW, Albany, OR 97321Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

1023 6th Ave SW
Albany, OR 97321
Phone (541) 926-8664

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 May 10, 2024 35.2%
John T Mitchell Individual Operational/Managerial Control May 10, 2024
Nhi-Reit of Idaho LP Organization, Murfreesboro, TN For-profit, Real estate investment trust (REIT) Adp of the SNF Sep 1, 2024
Frederick G Apt Individual Operational/Managerial Control May 10, 2024
Anne Haddock Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Aug 12, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 10, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 10, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Adp of the SNF Sep 1, 2024
Truist Bank Organization, Charlotte, NC Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Sep 1, 2024 100%
Joshua O Jergensen Individual Operational/Managerial Control May 10, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 10, 2024 100%
Franki Maier Individual Operational/Managerial Control Sep 1, 2024
Xin Wang Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Aug 12, 2025
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest May 10, 2024 35.2%

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": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1740029164",
    "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": "1023 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211917",
            "telephone_number": "541-926-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberline Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.