NPIMap

Organization Active NPI

Multicare Health System

Doing business as MultiCare Good Samaritan Home Health

  • Home Health Agency
  • Tacoma, WA
National Provider Identifier
1275647133
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MULTICARE HEALTH SYSTEM
Doing business as
MultiCare Good Samaritan Home Health
Practice address
1313 Broadway Ste 200
Tacoma, WA 98402-3400
Phone
(253) 301-6400
NPI assigned
Aug 18, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WA Primary

Addresses

Primary practice location

1313 Broadway Ste 200
Tacoma, WA 98402-3400

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Other identifiers 2

IdentifierTypeStateIssuer
1043537MedicaidWA
507046OtherMEDICARE PROVIDER NUMBER

Other names 1

  • MultiCare Good Samaritan Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000535 WA Part A Provider - Home Health Agency 7719899897 Practice locations: Spokane, WA; Tacoma, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275647133. Details of each certification follow.

Home health agency certification: CCN 507046

Legal name
MULTICARE HEALTH SYSTEM
Doing business as
MULTICARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 1979
Last certification
Jan 10, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jul 23, 1986 in WA
Enrollment address
1313 Broadway
Tacoma, WA 98402

Care Compare: Home health agency

Medicare Care Compare
Listed as
Multicare Good Samaritan Home HealthCCN 507046 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Jun 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
MMG Westgate Urgent Car99 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
William G Robertson Individual Corporate OfficerCeo Dec 4, 2014
W-2 Managing EmployeeCeo Dec 4, 2014
Leslie Dale Sowell Individual Corporate DirectorBoard Member Dec 21, 2008
Robert Yost Individual Corporate DirectorBoard Member Dec 21, 2008
John Wiborg Individual Corporate DirectorBoard Member Dec 21, 2008
Tariq Salam Individual Corporate Director Nov 1, 2020
James Gyeong-Jin Lee Individual Corporate OfficerExec VP & Cfo Jun 1, 2022
W-2 Managing EmployeeExec VP & Cfo Jun 1, 2022
Tara Perry Individual Corporate Director Aug 25, 2021
Florence Chang Individual Corporate OfficerPresident Jan 1, 2015
W-2 Managing EmployeePresident Jan 1, 2015
Robin J Thomashauer Individual Corporate Director Nov 1, 2020
Janine Terrano Individual Corporate Director Dec 4, 2014
Frank Tombari Individual Corporate Director Jan 28, 2022
Deedee Walkey Individual Corporate DirectorBoard Member Dec 21, 2008
Lynn Siedenstrang Individual Corporate DirectorDirector VP-Care Continuum Apr 1, 2017
W-2 Managing EmployeeDirector Apr 1, 2017
Sally Leighton Individual Corporate DirectorBoard Member Dec 21, 2008
Multicare Health System Organization, Tacoma, WA Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 2007
Joanna Monroe Individual Corporate Director Jan 1, 2019

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 22

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tacoma General/Allenmore HospitalTacoma, WA, CCN 500129 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 1986
Mary Bridge Children's HospitalTacoma, WA, CCN 503301 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
West Seattle Psychiatric HospitalSeattle, WA, CCN 504009 Hospital 5% Or Greater Indirect Ownership Interest (100%) May 1, 2017
Overlake Medical Center & ClinicsBellevue, WA, CCN 500051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Overlake Medical Center & ClinicsBellevue, WA, CCN 50S051 Hospital Operational/Managerial Control (100%) Oct 1, 2024
Yakima Valley MemorialYakima, WA, CCN 500036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Good Samaritan HospitalPuyallup, WA, CCN 500079 Hospital 5% Or Greater Direct Ownership Interest (100%) May 16, 2011
Multicare Good Samaritan HospitalPuyallup, WA, CCN 50T079 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 2011
Yakima Valley Memorial Hospital AssociationYakima, WA, CCN 50S036 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare Auburn Medical CenterAuburn, WA, CCN 500015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Behavioral Health Inpatient Services-AuburnAuburn, WA, CCN 50S015 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2012
Multicare Valley HospitalSpokane Valley, WA, CCN 500119 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 30, 2017
Multicare Deaconess HospitalSpokane, WA, CCN 500044 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2017
Multicare Covington Medical CenterCovington, WA, CCN 500154 Hospital 5% Or Greater Direct Ownership Interest Feb 18, 2018
Wellfound Behavioral Health HospitalTacoma, WA, CCN 504016 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2016
Multicare Capital Medical CenterOlympia, WA, CCN 500139 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 5, 2021
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2010
Avalon Healthcare - TacomaTacoma, WA, CCN 505183 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (50%)		 Aug 1, 2024
Aug 1, 2024
Memorial Home Care ServicesYakima, WA, CCN 507028 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Memorial Home Care / Hospice ServicesYakima, WA, CCN 501531 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 17, 2023
Multicare HospiceTacoma, WA, CCN 501508 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 1, 2011
Apr 1, 2011
PNW Hospice LLCTacoma, WA, CCN 501555 Hospice 5% Or Greater Direct Ownership Interest (100%) May 3, 2023

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Affiliated clinicians 131

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

View all 131

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": "1754265600000",
    "number": "1275647133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BROADWAY STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023400",
            "telephone_number": "253-301-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043537",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "507046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MultiCare Good Samaritan Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MultiCare Good Samaritan Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.