NPIMap

Organization Active NPI

Citrus Heights Community Healthcare, LLC

Doing business as Citrus Heights Post Acute

  • Skilled Nursing Facility
  • Citrus Heights, CA
National Provider Identifier
1831891613
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CITRUS HEIGHTS COMMUNITY HEALTHCARE, LLC
Doing business as
Citrus Heights Post Acute
Practice address
7807 Uplands Way
Citrus Heights, CA 95610-7500
Phone
(916) 967-2929
NPI assigned
Mar 17, 2023
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 NU Primary

Addresses

Primary practice location

7807 Uplands Way
Citrus Heights, CA 95610-7500

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Citrus Heights 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
O20240603003425 CA Part A Provider - Skilled Nursing Facility 2769924950 Practice locations: Citrus Heights, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831891613. Details of each certification follow.

Skilled nursing facility certification: CCN 555337

Legal name
CITRUS HEIGHTS COMMUNITY HEALTHCARE LLC
Doing business as
CITRUS HEIGHTS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1989
Last certification
Apr 24, 2025
Beds
162
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Enrollment address
7807 Uplands Way
Citrus Heights, CA 95610-7500
Nursing home name
CITRUS HEIGHTS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Citrus Heights Post AcuteCCN 555337 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
162155.9 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
05D0687522Citrus Heights Post Acute7807 Uplands Way, Citrus Heights, CA 95610Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Providence Group Inc Organization, Farmington, UT Corporation, Holding company Adp of the SNF Jan 15, 2026
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 50%
Ashkan Javaheri Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Terri Ballesteros Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Feb 1, 2024
Heather Reeves Individual Operational/Managerial Control Feb 1, 2024
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Capital SNF Holding Company, LLC Organization, Farmington, UT Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Providence Group NH, LLC Organization, Farmington, UT Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Holding company, Consulting firm Adp of the SNF Feb 1, 2024
Truist Bank Organization, Charlotte, NC Financial institution, Owned by another organization or individual 5% Or Greater Security Interest Dec 7, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Organization, Suffern, NY LLC Adp of the SNF Jul 28, 2023
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Feb 1, 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 4

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1831891613",
    "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": "7807 UPLANDS WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107500",
            "telephone_number": "916-967-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS HEIGHTS COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Heights Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Heights Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.