River Otter Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIVER OTTER HEALTHCARE LLC

Practice address

2800 S 224TH St
Des Moines, WA 98198-5132

Phone

(206) 824-0600

Fax

(206) 824-5622

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 487-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Skilled nursing facility certification: CCN 505513

Legal name

RIVER OTTER HEALTHCARE LLC

Doing business as

PUGET SOUND TRANSITIONAL CARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 2, 2004

Last certification

Jun 12, 2024

Beds

165

Ownership / control type

Corporation

Multi-facility organization

PENNANT HEALTH CARE INC

Organization structure

LLCProprietary

Enrollment address

2800 S 224TH St
Des Moines, WA 98198-5132

Nursing home name

PUGET SOUND TRANSITIONAL CARE

Affiliated entity

THE ENSIGN GROUP

Listed as

Puget Sound Transitional CareCCN 505513

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 2, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

16581.1 residents per day on average

Chain

The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 13

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 1

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

• Joseph C Denor, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1679548531

  Adp of the SNF, Managing Control - Governing Body

  CMS ownership

Facilities with the same owner 2

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

• Olympic Marmot Healthcare LLC

  • Skilled Nursing Facility
  • Bremerton, WA
  • NPI 1205546579

  Actriv Healthcare LLC

  CMS ownership
• Woodard Creek Healthcare LLC

  • Skilled Nursing Facility
  • Olympia, WA
  • NPI 1740671734

  Actriv Healthcare LLC

  CMS ownership

Practitioners 2

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

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382
  NPD (past)
• Joseph C Denor, MD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1679548531
  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1104536473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-487-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S 224TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985132",
            "telephone_number": "206-824-0600",
            "fax_number": "206-824-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OTTER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-487-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abiy Retta
• Brigitte Rey Wagner, PTA
• Miriam C Reyes, BS
• Amir Rezayat, MD
• Aroya C Rice, LPN
• Justin Roderick, PHARMD
• Kayla Lynn Rojas, LICSW, CCM, SUDP
• Marion Josef Roman, OT
• Kathryn Elizabeth Rooney
• Mey Lai Saeteurn, PHARMD

• All providers in Des Moines, WA
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.