NPIMap

Organization Active NPI

Yakima Valley Memorial Hospital Association

Doing business as Memorial Home Care Services

  • Home Health Agency
  • Yakima, WA
National Provider Identifier
1114964509
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-376 Issued in WA
Legal business name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Memorial Home Care Services
Practice address
302 S 10TH Ave
Yakima, WA 98902-3521
Phone
(509) 746-3800
NPI assigned
Jun 2, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-376 WA Primary

Addresses

Primary practice location

302 S 10TH Ave
Yakima, WA 98902-3521

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Yakima, WA 98415-0299

Other identifiers 2

IdentifierTypeStateIssuer
507028OtherWAMEDICARE PROVIDER NUMBER
2224511MedicaidWA

Other names 1

  • Memorial Home Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000627 WA Part A Provider - Home Health Agency 5698661890 Practice locations: Yakima, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114964509. Details of each certification follow.

Home health agency certification: CCN 507028

Legal name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MEMORIAL HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 1, 1970
Last certification
Nov 16, 2017
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1994 in WA
Enrollment address
302 S 10TH Ave
Yakima, WA 98902-3521

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Memorial Home Care ServicesCCN 507028 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 1, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Yakima Valley Memorial Hosp10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
William G Robertson Individual Corporate OfficerCeo Dec 4, 2014
W-2 Managing EmployeeCeo Dec 4, 2014
Laura Armstrong Individual Corporate Director May 2, 2024
Leslie Dale Sowell Individual Corporate Director Oct 1, 2012
Robert Yost Individual Corporate Director Sep 20, 2006
Maribel Jimenez Individual Corporate Director Jan 1, 2018
John Wiborg Individual Corporate Director Apr 18, 2001
Tariq Salam Individual Corporate Director Nov 1, 2020
W-2 Managing Employee Nov 1, 2020
James Gyeong-Jin Lee Individual Corporate OfficerExec VP & Cfo Jun 1, 2022
W-2 Managing EmployeeExec VP & Cfo Jun 1, 2022
Tara Perry Individual Corporate Director Aug 25, 2021
Florence Chang Individual Corporate OfficerPresident Jan 1, 2015
W-2 Managing EmployeePresident Jan 1, 2015
Robin J Thomashauer Individual Corporate Director Nov 1, 2020
Janine Terrano Individual Corporate Director Dec 4, 2014
Frank Tombari Individual Corporate Director Jan 28, 2022
Deedee Walkey Individual Corporate Director Oct 1, 2012
Yakima Valley Memorial Hospital Association Organization, Yakima, WA Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1994
David Hargreaves Individual Corporate DirectorBoard Member Jan 27, 2014 6.67%
Lori Arviso Alvord Individual Corporate Director May 2, 2024
Sally Leighton Individual Corporate Director Oct 1, 2012
Gail Weaver Individual Corporate DirectorBoard Member Jan 27, 2014 6.67%
Multicare Health System Organization, Tacoma, WA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Joanna Monroe Individual Corporate Director Mar 27, 2024
Patrick Oshie Individual Corporate Officer Nov 1, 2021
Robert M Williams Individual Corporate Director Apr 19, 2022
Mirna Ramos-Diaz Individual Corporate Director Mar 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 4

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

FacilityTypeRoleSince
Yakima Valley MemorialYakima, WA, CCN 500036 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007
Yakima Valley Memorial Hospital AssociationYakima, WA, CCN 50S036 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Memorial Home Care / Hospice ServicesYakima, WA, CCN 501531 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1114964509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 10TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023521",
            "telephone_number": "509-746-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "507028",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.