NPIMap

Organization Active NPI

Hemet SNF Healthcare, LLC

Doing business as San Jacinto Valley Post Acute

  • Skilled Nursing Facility
  • Hemet, CA
National Provider Identifier
1740978931
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEMET SNF HEALTHCARE, LLC
Doing business as
San Jacinto Valley Post Acute
Practice address
275 N San Jacinto St
Hemet, CA 92543-4453
Phone
(951) 658-9441
NPI assigned
Apr 26, 2023
Last updated
Aug 20, 2024By the provider in NPPES
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

275 N San Jacinto St
Hemet, CA 92543-4453

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • San Jacinto 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
O20240306003180 CA Part A Provider - Skilled Nursing Facility 0941646426 Practice locations: Hemet, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740978931. Details of each certification follow.

Skilled nursing facility certification: CCN 055223

Legal name
HEMET SNF HEALTHCARE, LLC
Doing business as
SAN JACINTO VALLEY POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 27, 1985
Last certification
Nov 8, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 19, 2023 in CA
Enrollment address
275 N San Jacinto St
Hemet, CA 92543-4453
Nursing home name
SAN JACINTO VALLEY POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
San Jacinto Valley Post AcuteCCN 055223 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 27, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9993.7 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
05D0717077San Jacinto Valley Post Acute275 North San Jacinto St, Hemet, CA 92543Certificate of waiverAug 31, 2026

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 Apr 19, 2023 35.2%
John T Mitchell Individual Operational/Managerial Control Jan 1, 2024
Sanyasi Rao Ganta Individual Operational/Managerial Control Jun 15, 2023
Adp of the SNF Jan 23, 2026
Frederick G Apt Individual Operational/Managerial Control Jan 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 15, 2023 100%
Cherrylyn Aguda Individual Operational/Managerial Control Jan 19, 2024
Organization, Torrance, CA LLC, For-profit Adp of the SNF Jun 15, 2023
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, For-profit Adp of the SNF Jun 15, 2023
Truist Bank Organization, Charlotte, NC Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Dec 7, 2023 100%
Joshua O Jergensen Individual Operational/Managerial Control Jan 1, 2024
Brennan Boyack Individual Operational/Managerial Control Jun 25, 2023
Adp of the SNF Jan 23, 2026
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 15, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 19, 2023 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 8

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1740978931",
    "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": "275 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434453",
            "telephone_number": "951-658-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET SNF HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "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": "San Jacinto Valley Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Jacinto Valley Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.