Josephine Caring Community

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JOSEPHINE CARING COMMUNITY

Doing business as

Josephine At Home

Practice address

9901 272ND PL NW
Stanwood, WA 98292-7449

Phone

(360) 386-3284

Fax

(360) 999-5645

NPI assigned

Oct 6, 2023

Organization subpart

Yes

Parent organization

JOSEPHINE CARING COMMUNITYAs reported in NPPES

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

Authorized official

Name

Terry Allen Robertson

Title

Ceo

Phone

(360) 629-2126

Specialties & licenses 1

Addresses

Other names 1

• Josephine At Home Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Home health agency certification: CCN 507308

Legal name

JOSEPHINE CARING COMMUNITY

Doing business as

JOSEPHINE AT HOME

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 16, 2022

Last certification

Oct 20, 2022

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Dec 18, 1925 in WA

Enrollment address

9901 272ND PL NW
Stanwood, WA 98292-7449
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

• Josephine Caring Community

  dba Josephine at Home

  • Skilled Nursing Facility
  • Stanwood, WA
  • NPI 1063407393

  1850480062

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Josephine Caring Community

  dba Josephine at Home

  • Skilled Nursing Facility
  • Stanwood, WA
  • NPI 1063407393

  O20220509000052

  Same enrollment

Listed as

Josephine at HomeCCN 507308 · All quality measures

Overall star rating

1.5 of 5

Ownership

Non-Profit

Certified

Nov 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy

Part of

Josephine Sunset Home

Locations

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.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Josephine Caring Community

  dba Josephine at Home

  • Skilled Nursing Facility
  • Stanwood, WA
  • NPI 1063407393
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Palmer, RN, BSN

  • Registered Nurse
  • Snohomish, WA
  • NPI 1053833616
  NPD

Affiliated clinicians 2

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

• Whitney C Eskes

  • Nurse Practitioner
  • Stanwood, WA
  • NPI 1043795990

  Home health agency

  Care Compare affiliation
• Aloysius Yinug, M.D

  • Family Medicine Physician
  • Stanwood, WA
  • NPI 1730183708

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1366223307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 272ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927449",
            "telephone_number": "360-386-3284",
            "fax_number": "360-999-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 272ND PL NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927449",
            "telephone_number": "360-386-3284",
            "fax_number": "360-999-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE CARING COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPHINE CARING COMMUNITY",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-629-2126"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josephine At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karie Lynn Johnson, PHARMACY TECHNICIAN
• Terra P Johnson, LMHC
• Joanne Jornales, CAAR
• Joseph Eidsness, DDS, PLLC (Port Susan Dental)
• Josephine Caring Community (Josephine at Home)
• Thomas Jung, THOMAS JUNG
• Kelsey Nichole Kanehen
• Timothy John Kathol
• Mark Allen Keller, M.D.
• Emily Josephine Kelley-Brown, MPH, RD, CD, CSP

• Home Health Agency in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.