Josephine Caring Community

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH143 Issued in WA

Legal business name

JOSEPHINE CARING COMMUNITY

Doing business as

Josephine at Home

Practice address

9901 272ND PL NW
Stanwood, WA 98292-7449

Phone

(360) 629-2126

Fax

(360) 629-4543

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Terry Allen Robertson

Title

Ceo

Phone

(360) 629-2126

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Josephine at Home Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 505465

Legal name

JOSEPHINE CARING COMMUNITY

Doing business as

JOSEPHINE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1992

Last certification

Jul 15, 2024

Beds

160

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

Dec 18, 1925 in WA

Enrollment address

9901 272ND PL NW
Stanwood, WA 98292-7449

Nursing home name

JOSEPHINE CARING COMMUNITY

Home health agency certification: CCN 507308

Legal name

JOSEPHINE CARING COMMUNITY

Doing business as

JOSEPHINE AT HOME

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 16, 2022

Last certification

Oct 20, 2022

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Dec 18, 1925 in WA

Enrollment address

9901 272ND PL NW
Stanwood, WA 98292-7449
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

• Josephine Caring Community

  dba Josephine At Home

  • Home Health Agency
  • Stanwood, WA
  • NPI 1366223307

  1850480062

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Josephine Caring Community

  dba Josephine At Home

  • Home Health Agency
  • Stanwood, WA
  • NPI 1366223307

  O20220509000052

  Same enrollment

Listed as

Josephine at HomeCCN 507308 · All quality measures

Overall star rating

1.5 of 5

Ownership

Non-Profit

Certified

Nov 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy

Listed as

Josephine Caring CommunityCCN 505465 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Jan 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

160115.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 41

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

Owners & managing parties with NPI records 2

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

• John S. Dew, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1740244193

  Adp of the SNF

  CMS ownership
• Herbert Edwin Stickle, MD

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1699736637

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Josephine Caring Community

  dba Josephine At Home

  • Home Health Agency
  • Stanwood, WA
  • NPI 1366223307
  NPPES parent name

Practitioners 6

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

• Leslie Palmer, RN, BSN

  • Registered Nurse
  • Snohomish, WA
  • NPI 1053833616
  NPD
• John S. Dew, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1740244193
  NPD (past)
• Yevgeniy Y Elikh, MD, BSN

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1649874272
  NPD (past)
• Rachel Marie Herrmann, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1104187905
  NPD (past)
• Robert R Jacobsen, MD

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1205890944
  NPD (past)
• Herbert Edwin Stickle, MD

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1699736637
  NPD (past)

Affiliated clinicians 7

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

• John S. Dew, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1740244193

  Nursing home

  Care Compare affiliation
• Yevgeniy Y Elikh, MD, BSN

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1649874272

  Nursing home

  Care Compare affiliation
• Whitney C Eskes

  • Nurse Practitioner
  • Stanwood, WA
  • NPI 1043795990

  Home health agency

  Care Compare affiliation
• Rachel Marie Herrmann, DO

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1104187905

  Nursing home

  Care Compare affiliation
• Robert R Jacobsen, MD

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1205890944

  Nursing home

  Care Compare affiliation
• Herbert Edwin Stickle, MD

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1699736637

  Nursing home

  Care Compare affiliation
• Aloysius Yinug, M.D

  • Family Medicine Physician
  • Stanwood, WA
  • NPI 1730183708

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1063407393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 272ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927449",
            "telephone_number": "360-629-2126",
            "fax_number": "360-629-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 272ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927449",
            "telephone_number": "360-629-2126",
            "fax_number": "360-629-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE CARING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-629-2126"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114302",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josephine at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel P. Gardner, DMD, PS
• Karie Lynn Johnson, PHARMACY TECHNICIAN
• Terra P Johnson, LMHC
• Joanne Jornales, CAAR
• Joseph Eidsness, DDS, PLLC (Port Susan Dental)
• Josephine Caring Community (Josephine At Home)
• Thomas Jung, THOMAS JUNG
• Kelsey Nichole Kanehen
• Timothy John Kathol
• Mark Allen Keller, M.D.

• Skilled Nursing Facility in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.