NPIMap

Organization Active NPI

Circleville Post Acute, LLC

Doing business as Circleville Post Acute

  • Skilled Nursing Facility
  • Circleville, OH
National Provider Identifier
1861051757
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CIRCLEVILLE POST ACUTE, LLC
Doing business as
Circleville Post Acute
Practice address
1155 Atwater Ave
Circleville, OH 43113-1301
Phone
(740) 477-1695
NPI assigned
Jun 13, 2019
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 Primary

Addresses

Primary practice location

1155 Atwater Ave
Circleville, OH 43113-1301

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Circleville Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725002794 OH Part A Provider - Skilled Nursing Facility 9335475540 Practice locations: Cirlceville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861051757. Details of each certification follow.

Skilled nursing facility certification: CCN 365456

Legal name
CIRCLEVILLE POST ACUTE, LLC
Doing business as
CIRCLEVILLE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 13, 1980
Last certification
Apr 17, 2025
Beds
97
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Providence Administrative Consulting Services
Organization structure
LLCProprietary
Incorporated
Mar 7, 2019 in OH
Enrollment address
1155 Atwater Ave
Cirlceville, OH 43113-1301
Nursing home name
CIRCLEVILLE POST-ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Circleville Post-AcuteCCN 365456 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 13, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9789.4 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
36D1031702Circleville Post Acute1155 Atwater Avenue, Circleville, OH 43113Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

1155 Atwater Ave
Circleville, OH 43113
Phone (614) 592-0240

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
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Direct Ownership Interest Mar 7, 2019 100%
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Feb 10, 2021
Edward M Chernick Individual Contracted Managing EmployeeMD; Feb 1, 2022
Frederick G Apt Individual Corporate OfficerTreasurer Feb 10, 2021
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Brian Dutiel Individual W-2 Managing EmployeeAd; Apr 25, 2024
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%

Facilities with the same owner 80

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

View all 80

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1861051757",
    "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": "1155 ATWATER AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131301",
            "telephone_number": "740-477-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLEVILLE POST ACUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circleville Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Circleville Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.