NPIMap

Organization Active NPI

Hemet Community Healthcare, LLC

Doing business as Hemet Hills Post Acute

  • Skilled Nursing Facility
  • Hemet, CA
National Provider Identifier
1891497681
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEMET COMMUNITY HEALTHCARE, LLC
Doing business as
Hemet Hills Post Acute
Practice address
1717 W Stetson Ave
Hemet, CA 92545-6882
Phone
(951) 925-9171
NPI assigned
Mar 17, 2023
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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

1717 W Stetson Ave
Hemet, CA 92545-6882

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Hemet Hills 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
O20240406000083 CA Part A Provider - Skilled Nursing Facility 6204274475 Practice locations: Hemet, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891497681. Details of each certification follow.

Skilled nursing facility certification: CCN 555297

Legal name
HEMET COMMUNITY HEALTHCARE LLC
Doing business as
HEMET HILLS POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 19, 1988
Last certification
Jan 17, 2025
Beds
178
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2024
Organization structure
LLCProprietary
Incorporated
Mar 10, 2023 in CA
Enrollment address
1717 W Stetson Ave
Hemet, CA 92545-6882
Nursing home name
HEMET HILLS POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hemet Hills Post AcuteCCN 555297 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 19, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
178171.6 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
2Fines totaling $30,459

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
05D0684560Hemet Hills Post Acute1717 W Stetson Ave, Hemet, CA 92545Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1717 W Stetson Ave
Hemet, CA 92545
Phone (951) 625-9171

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 50%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Jeremy Vethan Gomer Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Jan 22, 2026
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm Operational/Managerial Control Feb 1, 2024
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
Brennan Boyack Individual Operational/Managerial Control Feb 1, 2024
Adp of the SNF Jan 22, 2026
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2024 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 50%

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 10

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": "1724112000000",
    "number": "1891497681",
    "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": "1717 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925456882",
            "telephone_number": "951-925-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET COMMUNITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "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": "Hemet Hills Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hemet Hills Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.