Organization Active NPI

Symbol Healthcare, Inc.

  • Home Health Agency
  • Tumwater, WA
National Provider Identifier
1184455685
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SYMBOL HEALTHCARE, INC.
Practice address
111 Tumwater Blvd SE Ste A300 & A302
Tumwater, WA 98501-6400
Phone
(360) 839-2122
Fax
(360) 775-2770
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

111 Tumwater Blvd SE Ste A300 & A302
Tumwater, WA 98501-6400

Mailing address

111 Tumwater Blvd SE Ste A300 & A302
Tumwater, WA 98501-6400
Phone (360) 839-2122

Other names 1

  • Puget Sound Home Health of Thurston County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250131000881 WA Part A Provider - Home Health Agency 9931354883 Practice locations: Tumwater, WA

Home health agency certification: CCN 507317

Legal name
SYMBOL HEALTHCARE, INC.
Doing business as
PUGET SOUND HOME HEALTH OF THURSTON COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2025
Last certification
Dec 4, 2025
Organization structure
CorporationProprietary
Enrollment address
111 Tumwater Blvd SE
Ste A302
Tumwater, WA 98501-6400
HHA Branch

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Puget Sound Home Health of Thurston CountyCCN 507317
Ownership
-
Certified
Dec 12, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2318516Puget Sound Home Health of Thurston County111 Tumwater Blvd SE Ste A300 & A302, Olympia, WA 98501Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Puget Sound Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

111 Tumwater Blvd SE
Ste A300
Tumwater, WA 98501
Phone (360) 786-9354

111 Tumwater Blvd SE
Ste A302
Tumwater, WA 98501
Phone (360) 839-2122

14400 NE 145th St
Woodinville, WA 98072
Phone (253) 581-9410

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Paragon Healthcare, Inc. Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 100%
Michael Magette Individual Corporate OfficerTreasurer Sep 26, 2024
Brian W. Wayment Individual Corporate OfficerPresident Nov 17, 2021
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2013 100%
George Gitungo Individual W-2 Managing EmployeeAd; Dec 1, 2024
John J Gochnour Individual Corporate DirectorDirector and Sole Board Member Sep 26, 2024
Amber Tueller Individual Corporate OfficerSecretary Sep 26, 2024

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1184455685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE A300 & A302",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016400",
            "telephone_number": "360-839-2122",
            "fax_number": "360-775-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE A300 & A302",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016400",
            "telephone_number": "360-839-2122",
            "fax_number": "360-775-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBOL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Home Health of Thurston County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.