Active NPI
Spokane United Methodist Homes
Doing business as Rockwood Manor
- Skilled Nursing Facility
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 457
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hill
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 45
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0883853 | Spokane United Methodist Homes | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Charles S Wells | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| Operational/Managerial Control | Jan 1, 2024 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| James Droppers | Corporate Director | Jan 1, 2021 | 100% |
| Elizabeth M Bornhoft | Corporate Director | Jan 1, 2016 | 100% |
| David Wetmore | Corporate Director | Jan 1, 2022 | 100% |
| Sheila Miranda | Corporate Director | Jan 1, 2021 | 100% |
| John Barber | Corporate Director | Jan 1, 2023 | 100% |
| Catherine K Koszczewski | Corporate Director | Jan 1, 2023 | 100% |
| Andrew J Gorton | Corporate Officer | Feb 13, 2012 | 100% |
| Debra L Long | Operational/Managerial Control | Jul 27, 1997 | |
| Leigh S Bishop | Operational/Managerial Control | Jan 9, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Demitri Itskos | Corporate Director | Mar 30, 1981 | 100% |
| Stephen Arthur Collette | Managing Control - Governing Body | Nov 9, 2020 | |
| Andrew S Demott | Corporate Director | Jan 1, 2018 | 100% |
| Jonell M Block | Corporate Director | Jan 1, 2017 | 100% |
| Patricia Conaty | Corporate Director | Jan 1, 2022 | 100% |
| Daniel J Deboise | Operational/Managerial Control | Jan 1, 2015 | |
| Adp of the SNF | Jan 1, 2015 | ||
| Carlos C de Imus | Corporate Director | Oct 2, 2024 | 100% |
| Inpatient Consultants of California Inc | Operational/Managerial Control | Jan 9, 2025 | |
| Adp of the SNF | Sep 18, 2025 | ||
| William Denholm | Corporate Director | May 1, 2024 | |
| Tom Johnson | Corporate Director | Jan 1, 2021 | 100% |
| Chris G Bafus | Corporate Director | Jan 1, 2016 | 100% |
| Patrick Thomas | Corporate Director | Feb 1, 2025 | |
| James Maxwell | Corporate Officer | Jul 6, 2023 | 100% |
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1508075961
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Berkeley, CA
- NPI 1437489994
Adp of the SNF, Operational/Managerial Control
-
dba IPC of Washington
- Hospitalist Physician
- Berkeley, CA
- NPI 1487930541
Adp of the SNF, Operational/Managerial Control
-
- Hospitalist Physician
- Berkely, CA
- NPI 1831134253
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Brookside Skilled Nursing
- Skilled Nursing Facility
- San Mateo, CA
- NPI 1952393076
Inpatient Consultants of California Inc
Practitioners & affiliated clinicians
Affiliated clinicians 11
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Spokane Valley, WA
- NPI 1225122591
Nursing home
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
- Spokane Sports and Spine PLLC
- Spokane Surgeons PLLC
- Spokane Therapist
- Spokane Therapist LLC
- Spokane Treatment and Recovery Services
- Spokane United Methodist Homes (Rockwood at Hawthorne)
- Spokane Urology PLLC
- Spokane Urology, PLLC (Urology Surgery Center Northwest)
- Spokane Valley Medical, Inc (Valley Mission Homecare Pharmacy)
- Spokane Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.