NPIMap

Organization Active NPI

BD Yakima I, LLC

  • Skilled Nursing Facility
  • Yakima, WA
National Provider Identifier
1396783809
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1422 Issued in WA
Legal business name
BD YAKIMA I, LLC
Practice address
702 N 16TH Ave
Yakima, WA 98902-1803
Phone
(509) 248-5320
Fax
(509) 249-8103
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Doug Devore
Title
Cfo
Phone
(425) 392-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1422 WA Primary

Addresses

Primary practice location

702 N 16TH Ave
Yakima, WA 98902-1803

Mailing address

3326 160TH Ave SE
Suite 120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other identifiers 2

IdentifierTypeStateIssuer
4112975MedicaidWA
4114229MedicaidWA

Other names 1

  • Good Samaritan Health 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
O20090527000221 WA Part A Provider - Skilled Nursing Facility 9739238577 Practice locations: Yakima, WA

Skilled nursing facility certification: CCN 505348

Legal name
BD YAKIMA I LLC
Doing business as
GOOD SAMARITAN HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Oct 7, 2024
Beds
105
Ownership / control type
Individual
Multi-facility organization
Regency Good Samaritan
Organization structure
LLCProprietary
Incorporated
Feb 20, 2009 in WA
Enrollment address
702 N 16TH Ave
Yakima, WA 98902-1803
Nursing home name
GOOD SAMARITAN HEALTH CARE CTR
Affiliated entity
REGENCY PACIFIC MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Good Samaritan Health Care CtrCCN 505348
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10587.5 residents per day on average
Chain
Regency Pacific Management27 facilities in the chain

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
50D0872809Good Samaritan Health Care Center702 N 16TH Ave, Yakima, WA 98902Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

702 N 16th Ave
Yakima, WA 98902
Phone (509) 248-5320

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Taylor E Hall Individual Operational/Managerial ControlAdministrator May 11, 2009 100%
BD Facilities LLC Organization, Bellevue, WA LLC 5% Or Greater Direct Ownership Interest May 1, 2017 100%
Operational/Managerial Control May 1, 2017
Marvin B Beddoe Individual 5% Or Greater Direct Ownership Interest Apr 1, 2010 99%
Operational/Managerial ControlCeo May 1, 2017 99%

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1396783809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "SUITE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066",
            "fax_number": "425-623-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021803",
            "telephone_number": "509-248-5320",
            "fax_number": "509-249-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BD YAKIMA I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112975",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4114229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.