Organization Active NPI

Peacehealth

Doing business as Peacehealth Southwest Home Health

  • Home Health Agency
  • Vancouver, WA
National Provider Identifier
1285720896
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEHEALTH
Doing business as
Peacehealth Southwest Home Health
Practice address
5400 Macarthur Blvd
Vancouver, WA 98661-7049
Phone
(360) 759-1500
Fax
(360) 729-3313
NPI assigned
Oct 4, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Arthur Craig Springer II
Title
Sys VP Fin Integrity/Controller
Phone
(360) 729-1132

Specialties & licenses 1

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

Addresses

Primary practice location

5400 Macarthur Blvd
Vancouver, WA 98661-7049

Mailing address

1115 SE 164TH Ave Dept 328
Vancouver, WA 98683-8003
Phone (360) 729-1462

Other practice location 1

1035 11th Ave
Longview, WA 98632-2505
Phone (360) 759-1500

Other names 1

  • PEACEHEALTH SOUTHWEST 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
O20130214000277 WA Part A Provider - Home Health Agency 9739092065 Practice locations: Longview, WA; Vancouver, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285720896. Details of each certification follow.

Home health agency certification: CCN 507064

Legal name
PEACEHEALTH
Doing business as
PEACEHEALTH SOUTHWEST HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 31, 1985
Last certification
May 20, 2021
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1976 in WA
Enrollment address
5400 Macarthur Blvd
Vancouver, WA 98661-7049

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peacehealth Southwest Home HealthCCN 507064 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
May 31, 1985
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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 E 33rd St
Vancouver, WA 98663
Phone (360) 514-7550

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Charlotte Virgia Davenport Individual Corporate DirectorBoard Member Jul 1, 2016
Ione S Adams Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Leonard W Kearney Individual Corporate DirectorBoard Member Jan 1, 2011
Thomas Karnes Individual Corporate OfficerSr. Vice President, General Counsel Jan 27, 2023
Lorraine Arvin Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Danny W Hollingshead Individual Corporate DirectorBoard Member Jun 1, 2017
Richard Harry Wollenberg Individual Corporate DirectorBoard Member Jan 21, 2014
Timothy Ackman Individual Corporate DirectorBoard Member Jul 1, 2017
Carolyn Aaron Individual Corporate DirectorBoard of Director Jan 1, 2021
Arthur Craig Springer II Individual Corporate OfficerSys VP Fin Integrity/Controller Nov 3, 2025
Peacehealth Organization, Vancouver, WA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Bryan Stewart Individual Operational/Managerial ControlSystem VP Home & Community Oct 13, 2017
Linda Lea Jackson Individual W-2 Managing EmployeeSystem Director Jul 15, 2023
Elizabeth V Dunne Individual Corporate OfficerPresident Dec 1, 2015
Richard E Magnuson Individual Corporate OfficerEvp, Chief Financial Officer Jun 16, 2025
Deleesa Meashintubby Individual Corporate DirectorBoard of Director Jun 30, 2023
Kathleen Lee Pruitt Individual Corporate DirectorBoard Member Jul 1, 2015
Sheila Lemieux Individual Corporate DirectorBoard of Director Member Sep 27, 2024
Sarah Marie Ness Individual Corporate OfficerPresident Jan 3, 2026
Andrea C Nenzel Individual Corporate DirectorBoard Member Jul 1, 2015
Karl Joseph Carrier Individual Corporate DirectorBoard Member Jul 1, 2016

Owners & managing parties with NPI records 3

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

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1285720896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 328",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838003",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACARTHUR BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617049",
            "telephone_number": "360-759-1500",
            "fax_number": "360-729-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322505",
            "country_code": "US",
            "telephone_number": "360-759-1500",
            "fax_number": "360-729-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
        "authorized_official_telephone_number": "360-729-1132",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACEHEALTH SOUTHWEST HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.