Organization Active NPI

Spokane United Methodist Homes

Doing business as Rockwood Manor

  • Skilled Nursing Facility
  • Spokane, WA
National Provider Identifier
1184738247
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
457 Issued in WA
Legal business name
SPOKANE UNITED METHODIST HOMES
Doing business as
Rockwood Manor
Practice address
2903 E 25TH Ave
Spokane, WA 99223-4992
Phone
(509) 536-6650
Fax
(509) 536-6662
NPI assigned
Aug 18, 2006
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Mr. James Maxwell
Title
Vice President Finance
Phone
(509) 536-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 457 WA Primary

Addresses

Primary practice location

2903 E 25TH Ave
Spokane, WA 99223-4992

Mailing address

2903 E 25TH Ave Ste Ofc
Spokane, WA 99223-4963
Phone (509) 536-6650

Other names 1

  • Rockwood Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230918002093 WA Part A Provider - Skilled Nursing Facility 7214841501 Practice locations: Spokane, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184738247. Details of each certification follow.

Skilled nursing facility certification: CCN 505033

Legal name
SPOKANE UNITED METHODIST HOMES
Doing business as
TEAM HEALTH
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 1, 1967
Last certification
Dec 9, 2024
Beds
45
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1960 in WA
Enrollment address
2903 E 25TH Ave
Ste Ofc
Spokane, WA 99223-4963
Nursing home name
ROCKWOOD SOUTH HILL

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rockwood South HillCCN 505033 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4534.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
50D0883853Spokane United Methodist Homes2903 E 25TH Ave, Spokane, WA 99223Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2903 E 25th Ave
Ofc
Spokane, WA 99223
Phone (509) 536-6650

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Charles S Wells Individual Corporate OfficerVice President Finance Jan 1, 2024
Corporate DirectorVice President of Finance Jan 1, 2024
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
James Droppers Individual Corporate DirectorBoard of Director Jan 1, 2021 100%
Elizabeth M Bornhoft Individual Corporate DirectorBoard of Director Jan 1, 2016 100%
David Wetmore Individual Corporate DirectorBoard of Director Jan 1, 2022 100%
Sheila Miranda Individual Corporate DirectorBoard of Director Jan 1, 2021 100%
John Barber Individual Corporate DirectorBoard of Director Jan 1, 2023 100%
Catherine K Koszczewski Individual Corporate DirectorBoard of Director Jan 1, 2023 100%
Andrew J Gorton Individual Corporate OfficerSecretary Feb 13, 2012 100%
Debra L Long Individual Operational/Managerial Control Jul 27, 1997
Leigh S Bishop Individual Operational/Managerial Control Jan 9, 2025
Adp of the SNF Jan 1, 2025
Demitri Itskos Individual Corporate DirectorBoard of Director Mar 30, 1981 100%
Stephen Arthur Collette Individual Managing Control - Governing BodyBoard of Director Nov 9, 2020
Andrew S Demott Individual Corporate DirectorBoard of Director Jan 1, 2018 100%
Jonell M Block Individual Corporate DirectorBoard of Director Jan 1, 2017 100%
Patricia Conaty Individual Corporate DirectorBoard of Director Jan 1, 2022 100%
Daniel J Deboise Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
Carlos C de Imus Individual Corporate DirectorBoard of Director Oct 2, 2024 100%
Inpatient Consultants of California Inc Organization, Spokane, WA Corporation Operational/Managerial Control Jan 9, 2025
Adp of the SNF Sep 18, 2025
William Denholm Individual Corporate DirectorBoard of Director May 1, 2024
Tom Johnson Individual Corporate DirectorBoard of Director Jan 1, 2021 100%
Chris G Bafus Individual Corporate DirectorBoard of Director` Jan 1, 2016 100%
Patrick Thomas Individual Corporate DirectorBoard of Director Feb 1, 2025
James Maxwell Individual Corporate OfficerPresident and Ceo Jul 6, 2023 100%
Operational/Managerial ControlCeo and President Jul 1, 2024 100%

Owners & managing parties with NPI records 5

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1184738247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 E 25TH AVE STE OFC",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234963",
            "telephone_number": "509-536-6650",
            "fax_number": "509-536-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 E 25TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234992",
            "telephone_number": "509-536-6650",
            "fax_number": "509-536-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE UNITED METHODIST HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "509-536-6658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.