Puget Sound Healthcare-Olympia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PUGET SOUND HEALTHCARE-OLYMPIA, LLC

Doing business as

Puget Sound Healthcare Center

Practice address

4001 Capital Mall Dr SW
Olympia, WA 98502

Phone

(360) 754-9792

NPI assigned

Nov 27, 2017

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Wolmark

Title

Ceo

Phone

(253) 251-9081

Specialties & licenses 1

Addresses

Other names 1

• Puget Sound Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215441407. Details of each certification follow.

• CCN 505299 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505299

Legal name

PUGET SOUND HEALTHCARE-OLYMPIA, LLC

Doing business as

PUGET SOUND HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 27, 1985

Last certification

Nov 7, 2024

Beds

108

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Caldera Care

Organization structure

LLCProprietary

Incorporated

Jun 30, 2017 in WA

Enrollment address

4001 Capital Mall Dr SW
Olympia, WA 98502-8657

Nursing home name

PUGET SOUND CARE

Affiliated entity

CALDERA CARE

Listed as

Puget Sound CareCCN 505299 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 27, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10895.1 residents per day on average

Chain

Caldera Care6 facilities in the chain

Penalties (3 years)

1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Neel Ramesh Chheda, DO

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1336678382

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meghan Trudeau, PA-C

  • Physician Assistant
  • Federal Way, WA
  • NPI 1669984282
  NPD (past)
• Haneen Aibak, MD

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1932362076
  NPD (past)
• Lucy Wachuka Kamau

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1932728466
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Meghan Trudeau, PA-C

  • Physician Assistant
  • Federal Way, WA
  • NPI 1669984282

  Nursing home

  Care Compare affiliation
• Haneen Aibak, MD

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1932362076

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1215441407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST NW",
            "address_2": "SUITE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-858-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CAPITAL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND HEALTHCARE-OLYMPIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "WOLMARK",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-251-9081"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Olympia, WA
• Providers in Olympia, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.

Verify at the official NPI Registry.