Organization Active NPI

Sharon Care Center, Inc

  • Skilled Nursing Facility
  • Centralia, WA
National Provider Identifier
1194763565
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1304 Issued in WA
Legal business name
SHARON CARE CENTER, INC
Practice address
1509 Harrison Ave
Centralia, WA 98531-4568
Phone
(360) 736-0112
Fax
(360) 807-0667
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Doug Devore
Title
Cfo
Phone
(425) 392-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1304 WA Primary

Addresses

Primary practice location

1509 Harrison Ave
Centralia, WA 98531-4568

Mailing address

1509 Harrison Ave
Centralia, WA 98531-4568
Phone (360) 736-0112

Other identifiers 1

IdentifierTypeStateIssuer
4113049MedicaidWA

Other names 1

  • Sharon Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000561 WA Part A Provider - Skilled Nursing Facility 1951563014 Practice locations: Centralia, WA

Skilled nursing facility certification: CCN 505429

Legal name
SHARON CARE CENTER INC
Doing business as
SHARON CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1992
Last certification
Sep 13, 2024
Beds
42
Ownership / control type
Partnership
Organization structure
CorporationProprietary
Enrollment address
1509 Harrison Ave
Centralia, WA 98531-4568
Nursing home name
SHARON CARE CENTER
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sharon Care CenterCCN 505429
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4232.0 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain

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
50D0637082Sharon Care Center1509 Harrison Ave, Centralia, WA 98531Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

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
Peter Wolkin Individual 5% Or Greater Direct Ownership Interest May 1, 2015 10%
General Partnership InterestCeo May 1, 2015 10%
Adp of the SNF Jan 1, 2023
Pharmacy Corporation of America Organization, Vancouver, WA Medical provider/supplier Adp of the SNF Jan 1, 2023
Premere Rehab LLC Organization, Tualatin, OR Management services company Adp of the SNF Jan 1, 2024
Nightingale Healthcare LLC. Organization, Bellingham, WA LLC, Management services company Operational/Managerial Control Jan 1, 2023
Floyd Sekeramayi Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Jonathan Blood Individual Operational/Managerial Control May 2, 2024
Adp of the SNF May 2, 2024
James Lee Clay Individual 5% Or Greater Direct Ownership Interest Apr 20, 2000 90%
General Partnership Interest Apr 20, 2000 90%
Sergio Martinez Individual Operational/Managerial Control Jan 9, 2023
Adp of the SNF Jan 9, 2023

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 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1194763565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314568",
            "telephone_number": "360-736-0112",
            "fax_number": "360-807-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314568",
            "telephone_number": "360-736-0112",
            "fax_number": "360-807-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113049",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sharon Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.