NPIMap

Organization Active NPI

Barton Healthcare System

  • Skilled Nursing Facility
  • South Lake Tahoe, CA
National Provider Identifier
1891759502
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BARTON HEALTHCARE SYSTEM
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 541-3420
Fax
(530) 541-2512
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Mr. Clinton Purvance, MD
Title
Ceo
Phone
(530) 541-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

PO Box 9578
South Lake Tahoe, CA 96158
Phone (530) 541-3240

Other names 1

  • Skilled Nursing Facility Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000353 CA Part A Provider - Skilled Nursing Facility 1850293960 Practice locations: South Lake Tahoe, CA

Skilled nursing facility certification: CCN 555698

Legal name
BARTON HEALTHCARE SYSTEM
Doing business as
BARTON MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 4, 1997
Last certification
Nov 7, 2024
Beds
48
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
May 31, 1960 in CA
Enrollment address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Nursing home name
BARTON HOSPITAL D/P SNF

All disclosed owners & managing parties 16

Medicare enrollment files

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

NameRoleSinceShare
Abby Killebrew Individual Corporate Director May 22, 2014
Stefan Ernest Schunk Individual Corporate Director May 1, 2018
Barton Healthcare System Organization, South Lake Tahoe, CA Non-profit 5% Or Greater Direct Ownership Interest Mar 7, 1997 100%
Operational/Managerial Control Apr 4, 1997
Adp of the SNF Mar 7, 1997
Sherry Mlynsky Individual Corporate Director May 1, 2022
Peter J Digrande Individual Corporate Director May 1, 2024
Patrick Fry Individual Corporate Director May 1, 2020
Jeffrey Rahbeck Individual Corporate Director May 1, 2017
Matthew Wonnacott Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Shawn Anderson Individual Corporate Director Apr 1, 2021
Carla Adams Individual Operational/Managerial Control Sep 1, 2023
Adp of the SNF Sep 1, 2023
Kathryn Biasotti Individual Corporate Director Sep 1, 2019
Scott Weavil Individual Corporate Director May 1, 2023
Kelly Neiger Individual Corporate OfficerCfo Nov 11, 2018
Clinton D Purvance Individual Corporate OfficerPresident/Ceo Nov 1, 2015 100%
Jonathon Cefalu Individual Corporate Director May 1, 2024
Kirk Ledbetter Individual Corporate Director Jan 1, 2008

All facility ownership & control disclosures 5

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barton Memorial HospitalS Lake Tahoe, CA, CCN 050352 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2005
Carson Valley HealthGardnerville, NV, CCN 291306 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2000
Carson Valley HealthGardnerville, NV, CCN 29Z306 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 2008
Barton Community Health CenterSouth Lake Tahoe, CA, CCN 058580 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2002
Aug 1, 2002
Carson Valley Health Primary Care Topaz RanchWellington, NV, CCN 293985 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
Barton Healthcare Syste13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 5

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

Practitioners 25

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

View all 25

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Barton Hospital D/P SNFCCN 555698
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 4, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4844.4 residents per day on average
Penalties (3 years)
2Fines totaling $9,252

Processed by Care Compare on Aug 1, 2026.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1891759502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9578",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96158",
            "telephone_number": "530-541-3240",
            "fax_number": "530-541-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420",
            "fax_number": "530-541-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "PURVANCE",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-541-3420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skilled Nursing Facility",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Skilled Nursing Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.