Organization Active NPI

Wesley Homes Lea Hill LLC

Doing business as Lea Hill Rehabilitation and Care Center

  • Skilled Nursing Facility
  • Auburn, WA
National Provider Identifier
1225547912
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1551 Issued in WA
Legal business name
WESLEY HOMES LEA HILL LLC
Doing business as
Lea Hill Rehabilitation and Care Center
Practice address
32049 109TH PL SE
Auburn, WA 98092-2567
Phone
(253) 876-1100
NPI assigned
Sep 25, 2017
Last updated
Sep 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Mr. Jim Yamamoto
Title
VP
Phone
(206) 870-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1551 WA Primary

Addresses

Primary practice location

32049 109TH PL SE
Auburn, WA 98092-2567

Mailing address

815 S 216TH St
Des Moines, WA 98198-6332
Phone (206) 870-1260

Other identifiers 1

IdentifierTypeStateIssuer
4115511MedicaidWA

Other names 1

  • Lea Hill Rehabilitation and Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508000537 WA Part A Provider - Skilled Nursing Facility 7618997727 Practice locations: Auburn, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225547912. Details of each certification follow.

Skilled nursing facility certification: CCN 505528

Legal name
WESLEY HOMES LEA HILL LLC
Doing business as
LEA HILL REHABILITATION AND CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 24, 2016
Last certification
Jul 2, 2024
Beds
36
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Wesley Homes
Organization structure
LLCNon-profit
Incorporated
Sep 27, 2004 in WA
Enrollment address
32049 109TH PL SE
Auburn, WA 98092-2567
Nursing home name
LEA HILL REHABILITATION AND CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lea Hill Rehabilitation and Care CenterCCN 505528 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 24, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3633.5 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
50D2106193Wesley Homes Care Center at Lea Hill32049 109TH PL SE, Auburn, WA 98092Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jerry a Flagel Individual OtherBoard Member Apr 18, 2016
Kevin Anderson Individual Contracted Managing Employee Apr 1, 1999
Corporate OfficerPresident / Ceo Apr 18, 2016
John H McGilliard Individual OtherBoard Member Apr 18, 2016
Jean Kathleen Rottle Individual OtherBoard Member Apr 18, 2016
James Yamamoto Individual Corporate OfficerChief Financial Officer Jan 1, 2020
William Alvin Freitag Individual OtherBoard Member May 23, 2022
Joe Harmon Individual OtherBoard Member May 23, 2022
Raynard Kanemori Individual OtherBoard Member May 23, 2022
Tim Searing Individual OtherBoard Member May 23, 2022
Wesley Homes Organization, Kent, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 27, 2004 100%
Operational/Managerial Control Apr 18, 2016 100%
Other Sep 27, 2004 100%
Monte Windsor Individual OtherBoard Member May 23, 2022
Ross Deckman Individual OtherBoard Member May 23, 2022
Edward P Rogel Individual OtherBoard Member Apr 18, 2016
Steven Robert Storms Individual OtherBoard Member Apr 18, 2016
Lynn Michaelis Individual OtherBoard Member May 23, 2022

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 3

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": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1225547912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S 216TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986332",
            "telephone_number": "206-870-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32049 109TH PL SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922567",
            "telephone_number": "253-876-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOMES LEA HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "206-870-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea Hill Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lea Hill Rehabilitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.