Organization Active NPI

Royal Park Health SNF Operations, LLC

  • Skilled Nursing Facility
  • Spokane, WA
National Provider Identifier
1154035327
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROYAL PARK HEALTH SNF OPERATIONS, LLC
Practice address
7411 N Nevada St
Spokane, WA 99208-5518
Phone
(509) 489-2273
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Yitzchok Yenowitz
Title
Authorized Representative
Phone
(323) 333-0910

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

7411 N Nevada St
Spokane, WA 99208-5518

Mailing address

1777 Avenue of the States Ste 102
Lakewood, NJ 08701-4779
Phone (732) 366-8300

Other names 1

  • Royal Park Health & Rehabilitation Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011002293 WA Part A Provider - Skilled Nursing Facility 4082069083 Practice locations: Spokane, WA

Skilled nursing facility certification: CCN 505379

Legal name
ROYAL PARK HEALTH SNF OPERATIONS LLC
Doing business as
ROYAL PARK HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 6, 1991
Last certification
Jan 17, 2025
Beds
164
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Evergreen
Organization structure
LLCProprietary
Enrollment address
7411 N Nevada St
Spokane, WA 99208-5518
Nursing home name
ROYAL PARK HEALTH AND REHABILITATION
Affiliated entity
EVERGREEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Royal Park Health and RehabilitationCCN 505379
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 6, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
164106.6 residents per day on average
Chain
Evergreen Healthcare Group44 facilities in the chain
Penalties (3 years)
4Fines totaling $111,830

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
Individual Indirect Ownership Interest Aug 31, 2023 3%
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 1%
Witzcorp PNW 12 LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 25%
Couve Healthcare Consulting LLC Organization, Vancouver, WA LLC, Consulting firm, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF May 1, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 3%
CH PNW 12 Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 66.5%
Micaela Harrison Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Meagan McGaughey Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Washington Idaho Property, L.L.C. Organization, Hunt Valley, MD LLC, Real estate investment trust (REIT), Owned by another organization or individual 5% Or Greater Security Interest Aug 31, 2023 100%
Adp of the SNF Jun 17, 2025
Couve Financial Services LLC Organization, Vancouver, WA LLC, For-profit, Chain home office Operational/Managerial Control Aug 31, 2023
Adp of the SNF May 1, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 2.25%
Danielle Curry Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Clinical Ops Aug 31, 2023
Adp of the SNF Aug 31, 2023
Leigh S Bishop Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Royal Park Health SNF Operations LLC Organization, Spokane, WA LLC, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF Jul 7, 2025
Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 2.25%
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Yitzchok Yenowitz Individual Operational/Managerial ControlChief Executive Officer Aug 31, 2023 100%
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Yisroel E Herzka Individual Indirect Ownership Interest Aug 31, 2023 66.5%
PNW 12 Opco Management LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Aug 31, 2023
Adp of the SNF May 1, 2025
Organization, Lakewood, NJ Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 2.25%
PNW 12 SNF Consulting LLC Organization, Lakewood, NJ LLC, Consulting firm, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF May 1, 2025
Shimon Spielman Individual Operational/Managerial ControlChief Financial Officer Aug 31, 2023
Adp of the SNF Aug 31, 2023
Jason Odenthal Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Operations Aug 31, 2023
Adp of the SNF Aug 31, 2023
Individual Indirect Ownership Interest Aug 31, 2023 1%
Pacific Northwest 12 Leased Operations Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Aug 31, 2023 100%

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 51

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

View all 51

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 2

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": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1154035327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014779",
            "telephone_number": "732-366-8300",
            "fax_number": "732-523-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085518",
            "telephone_number": "509-489-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PARK HEALTH SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-333-0910"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Park Health & Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Royal Park Health & Rehabilitation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.