NPIMap

Organization Active NPI

Conifer Nursing Center LLC

  • Skilled Nursing Facility
  • Corvallis, OR
National Provider Identifier
1992413439
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONIFER NURSING CENTER LLC
Practice address
160 NE Conifer Blvd
Corvallis, OR 97330-4162
Phone
(541) 757-1651
NPI assigned
Nov 14, 2022
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Donald J. Knox
Title
Ceo
Phone
(740) 359-5401

Specialties & licenses 1

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

Addresses

Primary practice location

160 NE Conifer Blvd
Corvallis, OR 97330-4162

Mailing address

10401 Linn Station Rd Ste 300
Louisville, KY 40223-3825
Phone (270) 336-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230117002807 OR Part A Provider - Skilled Nursing Facility 0749651495 Practice locations: Corvallis, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992413439. Details of each certification follow.

Skilled nursing facility certification: CCN 385072

Legal name
CONIFER NURSING CENTER LLC
Doing business as
CORVALLIS MANOR NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1978
Last certification
Mar 17, 2025
Beds
135
Ownership / control type
Corporation
Multi-facility organization
Volare Health
Organization structure
LLCProprietary
Incorporated
Aug 1, 2022 in OR
Enrollment address
160 NE Conifer Blvd
Corvallis, OR 97330-4162
Nursing home name
CORVALLIS MANOR NURSING & REHABILITATION CENTER
Affiliated entity
VOLARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Corvallis Manor Nursing & Rehabilitation CenterCCN 385072 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13578.8 residents per day on average
Chain
Volare Health16 facilities in the chain
Special focus status
SFF
Penalties (3 years)
6Fines totaling $345,051

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Maureen P Bruns Individual Operational/Managerial Control Jan 29, 2024
Adp of the SNF Jan 29, 2024
Pac 12 Opco Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 61.67%
Adp of the SNF Mar 1, 2023
Brian Smith Individual Corporate OfficerChief Financial Officer Mar 27, 2023 100%
Adp of the SNF Mar 27, 2023
Pac 12 Pinnacle Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 69.17%
Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Mar 18, 2024
Individual Adp of the SNF Oct 28, 2024
Knox Healthcare Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Organization, Louisville, KY For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 3.42%
Individual Adp of the SNF Feb 24, 2025
Organization, Hackensack, NJ For-profit Adp of the SNF Mar 27, 2025
Chaim Hagar Individual 5% Or Greater Indirect Ownership InterestMember Mar 1, 2023 30.83%
Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Conifer Propco LLC Organization, Louisville, KY Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2023 100%
Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Mar 1, 2023
Volare Health LLC Organization, Louisville, KY Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Aug 18, 2025
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Alexander Hagler Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24%
Donald Knox Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Corporate OfficerChief Executive Officer Mar 1, 2023 100%
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Tracey Henning Individual Operational/Managerial Control Jun 11, 2025
Adp of the SNF Jun 11, 2025
Eliezer Schwartz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 34.25%
Operational/Managerial Control Mar 1, 2023 100%
Adp of the SNF Mar 1, 2023

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 15

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

View all 15

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1992413439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233825",
            "telephone_number": "270-336-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NE CONIFER BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304162",
            "telephone_number": "541-757-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-359-5401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.