NPIMap

Organization Active NPI

Central Peninsula General Hospital, Inc

Doing business as Heritage Place

  • Skilled Nursing Facility
  • Soldotna, AK
National Provider Identifier
1922036060
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
736259 Issued in AK
Legal business name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Doing business as
Heritage Place
Practice address
232 Rockwell
Soldotna, AK 99669
Phone
(907) 262-2545
Fax
(907) 260-4590
NPI assigned
Jun 29, 2006
Last updated
Dec 26, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Richard Davis
Title
Ceo
Phone
(907) 714-4723

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 736259 AK
Skilled Nursing Facility 314000000X 736259 AK Primary

Addresses

Primary practice location

232 Rockwell
Soldotna, AK 99669

Mailing address

232 Rockwell
Soldotna, AK 99669
Phone (907) 262-2545

Other names 1

  • HERITAGE PLACE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000068 AK Part A Provider - Skilled Nursing Facility 4587552575 Practice locations: Soldotna, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922036060. Details of each certification follow.

Skilled nursing facility certification: CCN 025021

Legal name
CENTRAL PENINSULA GENERAL HOSPITAL INC
Doing business as
HERITAGE PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 14, 1986
Last certification
May 17, 2024
Beds
60
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1973 in AK
Enrollment address
232 W Rockwell Ave
Soldotna, AK 99669-7411
Nursing home name
HERITAGE PLACE

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage PlaceCCN 025021 · All quality measures
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
For profit - Corporation
Certified
Jul 14, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6040.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Central Pennisula Gener18 organizations share this tax ID, including this one
Part of
Central Pennisula Gener

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Carrie Couey Individual Corporate DirectorBoard of Directors Jan 1, 2020
Michael Reyes Individual Corporate DirectorBoard of Directors Jan 1, 2023
Michael MD Mullowney Individual Operational/Managerial Control Oct 23, 2013
Adp of the SNF Sep 30, 2025
Paul Ostrander Individual Corporate DirectorBoard of Directors Jan 1, 2022
Karl Hertz Individual Corporate OfficerChief Operating Officer Jun 16, 2025
Catherine Reaktenwalt Individual Operational/Managerial Control Oct 26, 2024
Adp of the SNF Oct 26, 2024
Central Peninsula General Hospital Inc Organization, Soldotna, AK Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2006 100%
Adp of the SNF Feb 3, 2026
Trena Richardson Individual Corporate DirectorBoard Member Oct 1, 2009
Jay S Rohloff Individual Corporate DirectorBoard of Directors Jan 1, 2021
Jesse J Kincaid Individual Corporate DirectorBoard of Directors Jan 1, 2022
Shanda Rochelle Richards Individual Operational/Managerial Control Dec 14, 2020
Adp of the SNF Dec 14, 2020
Bradley T Cross Individual Corporate DirectorBoard of Directors Jan 1, 2023
Max Best Individual Corporate Director Jan 1, 2021
Stephanie Queen Individual Corporate DirectorBoard of Directors Jan 1, 2023
Angela Hinnegan Individual Corporate OfficerCeo Jan 3, 2026
Barb Belloumini Individual Corporate DirectorBoard of Directors Jan 1, 2025
Silverio Mattero Individual Corporate DirectorBoard of Directors Jan 1, 2022

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Central Peninsula General HospitalSoldotna, AK, CCN 020024 Hospital Operational/Managerial Control Nov 26, 2007

Owned or controlled facilities with NPI records 19

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

View all 19

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 2

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 5

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1922036060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 ROCKWELL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-2545",
            "fax_number": "907-260-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 ROCKWELL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-2545",
            "fax_number": "907-260-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENINSULA GENERAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PENINSULA GENERAL HOSPITAL, INC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-714-4723"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AK",
            "license": "736259",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AK",
            "license": "736259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.