Organization Active NPI

Salmon Creek SNF Operations LLC

Doing business as Salmon Creek Post Acute & Rehabilitation

  • Skilled Nursing Facility
  • Vancouver, WA
National Provider Identifier
1851099873
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SALMON CREEK SNF OPERATIONS LLC
Doing business as
Salmon Creek Post Acute & Rehabilitation
Practice address
2811 NE 139TH St
Vancouver, WA 98686-2724
Phone
(360) 574-5247
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2811 NE 139TH St
Vancouver, WA 98686-2724

Mailing address

2811 NE 139TH St
Vancouver, WA 98686-2724

Other names 1

  • Salmon Creek Post Acute & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425002951 WA Part A Provider - Skilled Nursing Facility 4981069044 Practice locations: Vancouver, WA

Skilled nursing facility certification: CCN 505522

Legal name
SALMON CREEK SNF OPERATIONS LLC
Doing business as
SALMON CREEK POST ACUTE & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 26, 2011
Last certification
Oct 25, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Hill Valley Health Care
Organization structure
LLCProprietary
Incorporated
Feb 8, 2023 in NV
Enrollment address
2811 NE 139TH St
Vancouver, WA 98686-2724
Nursing home name
SALMON CREEK POST ACUTE & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Salmon Creek Post Acute & RehabilitationCCN 505522 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 26, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120107.6 residents per day on average
Chain
Hill Valley Healthcare43 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
50D2022221Salmon Creek Post Acute & Rehabilitation2811 NE 139TH St, Vancouver, WA 98686Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2023 48.75%
Daniel a Gottesman Individual OtherTrustee Feb 8, 2023
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Feb 8, 2023 46%
Salmon Creek SNF Operations Manager LLC Organization, Woodmere, NY LLC Operational/Managerial Control Apr 1, 2023
Steven a Schwartz Individual Corporate OfficerPresident Apr 1, 2023
Operational/Managerial ControlPresident Apr 1, 2023
Shimon Idels Individual Corporate OfficerCeo Apr 1, 2023
Operational/Managerial ControlCeo Apr 1, 2023
Heather Bennet-Idels Individual OtherTrustee Feb 8, 2023
Wash 6 SNF Operations Holdings LLC Organization, Woodmere, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 8, 2023 100%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Feb 8, 2023 46%
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2023 48.75%

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 3

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": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1851099873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 NE 139TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 NE 139TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862724",
            "telephone_number": "360-574-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON CREEK SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "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": "Salmon Creek Post Acute & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.