NPIMap

Organization Active NPI

Carson City SNF Ventures LLC

  • Skilled Nursing Facility
  • Carson City, NV
National Provider Identifier
1801396247
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in NV
Legal business name
CARSON CITY SNF VENTURES LLC
Practice address
1001 Mountain St
Carson City, NV 89703-3848
Phone
(360) 816-8283
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Gregory J Vislocky
Title
Ex VP of Finance / Partner
Phone
(360) 735-7155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PENDING NV Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1001 Mountain St
Carson City, NV 89703-3848

Mailing address

7700 NE Parkway Dr Ste 300
Vancouver, WA 98662-6654
Phone (360) 816-8283

Other names 1

  • Carson Tahoe Transitional Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190423000579 NV Part A Provider - Skilled Nursing Facility 7517209505 Practice locations: Carson City, NV

Skilled nursing facility certification: CCN 295104

Legal name
CARSON CITY SNF VENTURES LLC
Doing business as
CARSON TAHOE TRANSITIONAL REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 18, 2019
Last certification
Jan 16, 2025
Beds
80
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS Healthcare
Organization structure
LLCProprietary
Incorporated
Apr 16, 2014 in OR
Enrollment address
1001 Mountain St
Carson City, NV 89703-3848
Nursing home name
SIERRA BASIN POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sierra Basin Post AcuteCCN 295104
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
Jun 18, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8070.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Gregory J. Vislocky Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2019 30%
Carson Tahoe Regional Healthcare Organization, Carson City, NV Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2019 50%
Thomas B Mitchell Individual W-2 Managing EmployeeChief Financial Officer Mar 1, 2019 100%
Prestige Care Inc Organization, Vancouver, WA Corporation, For-profit Operational/Managerial Control Mar 1, 2019 100%
Brian R Delamarter Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 1, 2019 41.67%
D. D. & F. Organization, Vancouver, WA For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2019 50%
Elizabeth Delamarter Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2019 14.16%
Harold G Delamarter Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2019 14.17%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

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

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 2

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801396247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626654",
            "telephone_number": "360-816-8283",
            "fax_number": "360-816-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033848",
            "telephone_number": "360-816-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON CITY SNF VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EX VP OF FINANCE / PARTNER",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Tahoe Transitional Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.