NPIMap

Organization Active NPI

Missoula SNF Operations, LLC

  • Skilled Nursing Facility
  • Missoula, MT
National Provider Identifier
1780398149
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MISSOULA SNF OPERATIONS, LLC
Practice address
3018 Rattlesnake Dr
Missoula, MT 59802-6101
Phone
(406) 549-0988
Fax
(406) 549-0111
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Yitzchok Yenowitz
Title
Authorized Official
Phone
(732) 769-8877

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X
Assisted Living Facility 310400000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3018 Rattlesnake Dr
Missoula, MT 59802-6101

Mailing address

4601 NE 77TH Ave Ste 300
Vancouver, WA 98662-6736
Phone (360) 836-0400

Other names 1

  • Missoula Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030001829 MT Part A Provider - Skilled Nursing Facility 8820444730 Practice locations: Missoula, MT

Skilled nursing facility certification: CCN 275035

Legal name
MISSOULA SNF OPERATIONS LLC
Doing business as
MISSOULA HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 13, 2025
Beds
53
Ownership / control type
Corporation
Multi-facility organization
Pacific Northwest Holdings, LLC
Organization structure
LLCProprietary
Enrollment address
3018 Rattlesnake Dr
Missoula, MT 59802-6101
Nursing home name
MISSOULA HEALTH & REHABILITATION CENTER
Affiliated entity
EVERGREEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Missoula Health & Rehabilitation CenterCCN 275035
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5336.5 residents per day on average
Chain
Evergreen Healthcare Group44 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Organization, Lakewood, NJ LLC Adp of the SNF Aug 31, 2023
Witzcorp Global LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Aug 31, 2023 25%
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Pacific Northwest SNF Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 100%
Couve Healthcare Consulting LLC Organization, Vancouver, WA LLC, Consulting firm Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 1, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Karrie Rich Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 1%
Couve Financial Services LLC Organization, Vancouver, WA LLC, Chain home office Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 1, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Doris Fischer Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Pacific Northwest Opco Management LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Aug 31, 2023
Adp of the SNF May 27, 2025
Indirect Ownership Interest Aug 31, 2023
Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Aug 31, 2023
James Hohn Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Clinical Ops Aug 31, 2023
Adp of the SNF Aug 31, 2023
Individual Indirect Ownership Interest Aug 31, 2023 1%
Yitzchok Yenowitz Individual Operational/Managerial ControlChief Executive Officer Aug 31, 2023 100%
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Montana SNF Consulting LLC Organization, Lakewood, NJ LLC, Management services company, Consulting firm Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 19, 2025
Indirect Ownership Interest Aug 31, 2023
Yisroel E Herzka Individual Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 66.5%
Organization, Lakewood, NJ LLC, Holding company Indirect Ownership Interest Aug 31, 2023 3%
Steven W Palmieri Individual Adp of the SNF Aug 31, 2023
Missoula SNF Operations LLC Organization, Missoula, MT LLC Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jun 19, 2025
Direct Ownership Interest Aug 31, 2023
Shimon Spielman Individual Corporate OfficerChief Financial Officer Aug 31, 2023
Operational/Managerial ControlChief Financial Officer Aug 31, 2023
Adp of the SNF Aug 31, 2023
CH Pacific Northwest Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 31, 2023 66.5%
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 66.5%
Donald Randolph Cheeks Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Operations Aug 31, 2023
Adp of the SNF Aug 31, 2023
Pacific Northwest SNF Operations Holdings (Mt) LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Aug 31, 2023 100%
Individual Indirect Ownership Interest Aug 31, 2023 3%

Facilities with the same owner 51

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

View all 51

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1780398149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-836-0400",
            "fax_number": "360-967-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 RATTLESNAKE DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598026101",
            "telephone_number": "406-549-0988",
            "fax_number": "406-549-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-769-8877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Missoula Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.