Mt Tabor SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MT TABOR SNF OPERATIONS LLC

Practice address

6040 SE Belmont St
Portland, OR 97215-1974

Phone

(503) 231-7166

NPI assigned

Mar 18, 2025

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Vice President of Procurement

Phone

(646) 275-4510

Specialties & licenses 1

Addresses

Other names 1

• Mt. Tabor Health & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Skilled nursing facility certification: CCN 385141

Legal name

MT TABOR SNF OPERATIONS LLC

Doing business as

MT. TABOR HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1978

Last certification

Jun 6, 2025

Beds

120

Ownership / control type

Corporation

Multi-facility organization

Marquis

Organization structure

LLCProprietary

Enrollment address

6040 SE Belmont St
Portland, OR 97215-1974

Nursing home name

MT. TABOR HEALTH & REHABILITATION

Affiliated entity

HILL VALLEY HEALTHCARE

Listed as

Mt. Tabor Health & RehabilitationCCN 385141

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12068.3 residents per day on average

Chain

Hill Valley Healthcare43 facilities in the chain

Ownership change

Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 16

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

Facilities with the same owner 48

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

• Laurelhurst SNF Operations LLC

  • Skilled Nursing Facility
  • Portland, OR
  • NPI 1295521268

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Alexandria SNF Operations LLC

  • Skilled Nursing Facility
  • Alexandria, VA
  • NPI 1346951761

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Amherst SNF Operations LLC

  • Skilled Nursing Facility
  • Amherst, VA
  • NPI 1174297063

  Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Bedford SNF Operations LLC

  • Skilled Nursing Facility
  • Bedford, VA
  • NPI 1508530387

  Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Belington SNF Operations LLC

  • Skilled Nursing Facility
  • Belington, WV
  • NPI 1811670607

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Beth Sholom SNF Operations LLC

  • Skilled Nursing Facility
  • Richmond, VA
  • NPI 1881388510

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Blue Ridge SNF Operations LLC

  • Skilled Nursing Facility
  • Stuart, VA
  • NPI 1013478411

  Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Carlin Springs SNF Operations LLC

  • Skilled Nursing Facility
  • Arlington, VA
  • NPI 1700597127

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Cortland Acres SNF Operations LLC

  • Skilled Nursing Facility
  • Thomas, WV
  • NPI 1396565453

  Delilah 2626 Holdings LLC, JML 1836 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Diamond Hill SNF Operations LLC

  • Skilled Nursing Facility
  • Lynchburg, VA
  • NPI 1679247563

  Delilah 2626 Holdings LLC, Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Evergreen SNF Operations LLC

  • Skilled Nursing Facility
  • Winchester, VA
  • NPI 1487221107

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership
• Fair Oaks SNF Operations LLC

  • Skilled Nursing Facility
  • Fairfax, VA
  • NPI 1972214393

  Lion 26 Holdings LLC, Sabrina 1818 Holdings LLC, Saessy Irrevocable Trust, Tatiriq Irrevocable Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Heather Louise Dryden, M.D.

  • Internal Medicine Physician
  • Saint Helens, OR
  • NPI 1528367133

  Nursing home

  Care Compare affiliation
• William Marvin Gaskill, MD

  • Family Medicine Physician
  • Albany, OR
  • NPI 1487686440

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1760282602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151974",
            "telephone_number": "503-231-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151974",
            "telephone_number": "503-231-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT TABOR SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Tabor Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nayade Irina Mrak, MD
• MS5 LLC
• MS5 Wellness LLC
• Leslie Mscichowski
• Mt Rose Acupuncture LLC
• Mt. Hood Ear, Nose & Throat PC
• Mt. Hood Hearing Aid Center, Inc.
• Mt. Hood Imaging, LLC
• Mt. Scott Medical Group LLC
• Mt. Scott Sleep Medicine, Inc.

• Skilled Nursing Facility in Portland, OR
• Providers in Portland, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.