NPIMap

Organization Active NPI

Evan Terrace SNF Healthcare LLC

Doing business as Evan Terrace Post Acute

  • Skilled Nursing Facility
  • McMinnville, OR
National Provider Identifier
1942059795
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EVAN TERRACE SNF HEALTHCARE LLC
Doing business as
Evan Terrace Post Acute
Practice address
421 SE Evans St
McMinnville, OR 97128-6111
Phone
(503) 472-3141
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 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
(801) 447-9829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

421 SE Evans St
McMinnville, OR 97128-6111

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Evan Terrace Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828000588 OR Part A Provider - Skilled Nursing Facility 7113466756 Practice locations: McMinnville, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942059795. Details of each certification follow.

Skilled nursing facility certification: CCN 385225

Legal name
EVAN TERRACE SNF HEALTHCARE LLC
Doing business as
EVAN TERRACE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 26, 1991
Last certification
Jun 9, 2025
Beds
96
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACS
Organization structure
LLCProprietary
Incorporated
May 10, 2024 in OR
Enrollment address
421 SE Evans St
McMinnville, OR 97128-6111
Nursing home name
EVAN TERRACE POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evan Terrace Post AcuteCCN 385225 · 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
Sep 26, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9689.2 residents per day on average
Chain
Pacs Group274 facilities in the chain
Penalties (3 years)
1Fines totaling $25,116

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
38D0622883Evan Terrace Post Acute421 SE Evans Street, McMinnville, OR 97128Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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 InterestDirector - Pacs Group Inc Sep 9, 2024 35.2%
Trustee of the SNF Jan 1, 2013
John T Mitchell Individual Corporate OfficerSecretary Sep 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Robert Kinyon Individual Operational/Managerial Control Nov 11, 2024
Adp of the SNF Nov 11, 2024
McMinnville 421 Realty LLC Organization, New York, NY LLC, For-profit Adp of the SNF Sep 1, 2024
Curtis Reece Individual Operational/Managerial Control Oct 10, 2024
Adp of the SNF Oct 10, 2024
Frederick G Apt Individual Corporate OfficerTreasurer/ Manager Sep 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 10, 2024 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Providence Administrative Consulting Services Inc Organization, Farmington, UT Corporation, Consulting firm, For-profit Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Truist Bank Organization, Charlotte, NC Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Sep 1, 2024 100%
Joshua O Jergensen Individual Corporate OfficerPresident / Manager Sep 1, 2024
Operational/Managerial Control May 10, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 1, 2024 100%
Christopher R Morris Individual Operational/Managerial Control Sep 1, 2024
Adp of the SNF Sep 1, 2024
Mark D Hancock Individual 5% Or Greater Indirect Ownership InterestDirector - Pacs Group Inc Sep 9, 2024 35.2%
Trustee of the SNF Jan 1, 2013

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 1

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": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1942059795",
    "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": "421 SE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286111",
            "telephone_number": "503-472-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN TERRACE SNF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evan Terrace Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

Verify at the official NPI Registry.