Organization Active NPI

Tacoma SNF Operations LLC

Doing business as Birch Creek Post Acute & Rehabilitation

  • Skilled Nursing Facility
  • Tacoma, WA
National Provider Identifier
1215635230
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TACOMA SNF OPERATIONS LLC
Doing business as
Birch Creek Post Acute & Rehabilitation
Practice address
5601 S Orchard St
Tacoma, WA 98409-1371
Phone
(253) 474-8421
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Joseph Lieberman
Title
Vice President of Procurement
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

5601 S Orchard St
Tacoma, WA 98409-1371

Mailing address

5601 S Orchard St
Tacoma, WA 98409-1371

Other names 1

  • Birch Creek Post Acute & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626000660 WA Part A Provider - Skilled Nursing Facility 9133587017 Practice locations: Tacoma, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215635230. Details of each certification follow.

Skilled nursing facility certification: CCN 505289

Legal name
TACOMA SNF OPERATIONS LLC
Doing business as
BIRCH CREEK POST ACUTE & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1984
Last certification
Mar 14, 2025
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Hill Valley Health Care
Organization structure
LLCProprietary
Incorporated
Feb 8, 2023 in NV
Enrollment address
5601 S Orchard St
Tacoma, WA 98409-1371
Nursing home name
BIRCH CREEK POST ACUTE & REHABILITATION
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Birch Creek Post Acute & RehabilitationCCN 505289 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124115.6 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Penalties (3 years)
1Fines totaling $30,240

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
50D0636299Birch Creek Post Acute & Rehabilitation5601 S Orchard, Tacoma, WA 98409Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1007 Broadway
Ste 100
Woodmere, NY 11598

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Flushing, NY LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2023 48.75%
Gig Harbor SNF Operations Manager LLC Organization, Woodmere, NY LLC Operational/Managerial Control Apr 1, 2023 100%
Daniel a Gottesman Individual OtherTrustee Feb 8, 2023
Saessy Irrevocable Trust Organization, Far Rockaway, NY 5% Or Greater Indirect Ownership Interest Feb 8, 2023 46%
Steven a Schwartz Individual Corporate OfficerPresident Apr 1, 2023 100%
Operational/Managerial ControlPresident Apr 1, 2023 100%
Shimon Idels Individual Corporate OfficerCeo Apr 1, 2023 100%
Operational/Managerial ControlCeo Apr 1, 2023 100%
Heather Bennet-Idels Individual OtherTrustee Feb 8, 2023
Tacoma SNF Operations Manager LLC Organization, Woodmere, NY LLC Other Apr 1, 2023 100%
Wash 6 SNF Operations Holdings LLC Organization, Woodmere, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 8, 2023 100%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Feb 8, 2023 46%
Lion 26 Holdings LLC Organization, Far Rockaway, NY LLC 5% Or Greater Indirect Ownership Interest Feb 8, 2023 48.75%

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 2

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.

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": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1215635230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 S ORCHARD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S ORCHARD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091371",
            "telephone_number": "253-474-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROCUREMENT",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Creek Post Acute & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.