Tri-Cities Chaplaincy

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

TRI-CITIES CHAPLAINCY

Doing business as

The Chaplaincy

Practice address

1480 Fowler St
Richland, WA 99352-4717

Phone

(509) 783-7416

Fax

(509) 735-7850

NPI assigned

Jun 18, 2006

Last updated

Apr 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Castillo

Title

Acting Exec. Dir.

Phone

(509) 783-7416

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Chaplaincy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407891088. Details of each certification follow.

• CCN 501510 Hospice · Active · Details

Hospice certification: CCN 501510

Legal name

TRI-CITIES CHAPLAINCY

Doing business as

THE CHAPLAINCY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 10, 1985

Last certification

Apr 1, 2022

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Incorporated

Mar 25, 1974 in WA

Enrollment address

2108 W Entiat Ave
Kennewick, WA 99336-3000

Other NPIs with the same Medicare PAC ID 1

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

• Tri-Cities Chaplaincy

  dba Tri-Cities Chaplaincy Supportive Care

  • Nurse Practitioner
  • Richland, WA
  • NPI 1992070346

  0143217562

  Same PAC ID

Listed as

Tri-Cities Chaplaincy HospiceCCN 501510 · All quality measures

Ownership

Other

Certified

Apr 10, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Tri-Cities Chaplaincy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tri-Cities Chaplaincy

  • Marriage & Family Therapist
  • Richland, WA
  • NPI 1144600313
  NPD tax ID

Locations

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.

Practitioners 1

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.

• Wayne Michael Kohan, MD

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1134172281
  NPD (past)

Affiliated clinicians 4

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

• Jennifer L Smith, MD

  • Internal Medicine Physician
  • Richland, WA
  • NPI 1134344286

  Hospice

  Care Compare affiliation
• Brandon T. Thomas, D.O.

  • Emergency Medicine Physician
  • Kennewick, WA
  • NPI 1750308359

  Hospice

  Care Compare affiliation
• Rejeesh Menon Manchezhathu Rajagopalamenon, MD

  • Internal Medicine Physician
  • Lincoln City, OR
  • NPI 1720424476

  Hospice

  Care Compare affiliation
• Patrick R Waber, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Deer Lodge, MT
  • NPI 1225059439
  Care Compare affiliation

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1407891088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524717",
            "telephone_number": "509-783-7416",
            "fax_number": "509-735-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524717",
            "telephone_number": "509-783-7416",
            "fax_number": "509-735-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES CHAPLAINCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ACTING EXEC. DIR.",
        "authorized_official_telephone_number": "509-783-7416"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "25IG00000X",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3990124",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chaplaincy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri Cities Community Health
• Tri Cities Community Health (Tri Cities Community Health Pharmacy)
• Tri Cities Maternal Fetal Medicine PLLC
• Tri Cities Sleep Medical LLC (Silent Sleep Medical)
• Tri-Cities Chaplaincy
• Tri-Cities Chaplaincy (Tri-Cities Chaplaincy Supportive Care)
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health (TCCH Pharmacy-Richland)
• Tri-Cities Community Health

• Inpatient Hospice in Richland, WA
• Providers in Richland, WA by specialty
• Inpatient Hospice in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.