NPIMap

Organization Active NPI

Creston SNF Healthcare LLC

Doing business as Reedwood Post Acute

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1740039270
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRESTON SNF HEALTHCARE LLC
Doing business as
Reedwood Post Acute
Practice address
3540 SE Francis St
Portland, OR 97202-3350
Phone
(503) 232-5767
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 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

3540 SE Francis St
Portland, OR 97202-3350

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Reedwood 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
O20240829001486 OR Part A Provider - Skilled Nursing Facility 3577002963 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740039270. Details of each certification follow.

Skilled nursing facility certification: CCN 385055

Legal name
CRESTON SNF HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 13, 1967
Last certification
Mar 7, 2024
Beds
64
Ownership / control type
Corporation
Multi-facility organization
PACS Groups Inc
Organization structure
LLCProprietary
Incorporated
May 10, 2024 in OR
Enrollment address
3540 SE Francis St
Portland, OR 97202-3350
Nursing home name
REEDWOOD POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Reedwood Post AcuteCCN 385055 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 13, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6452.9 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
38D2034501Reedwood Post Acute3540 SE Francis St, Portland, OR 97202Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory

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
Portland 3540 Realty LLC Organization, New York, NY LLC, For-profit Adp of the SNF Sep 1, 2024
Charli Keesey Individual Operational/Managerial Control Sep 1, 2024
Frederick G Apt Individual Operational/Managerial Control May 10, 2024
Eriko Onishi Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Jul 11, 2025
Providence Group NH, LLC Organization, Farmington, UT LLC, 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
Andrew Thomas Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Jul 11, 2025
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
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": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1740039270",
    "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": "3540 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023350",
            "telephone_number": "503-232-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTON SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "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": "Reedwood Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.