NPIMap

Organization Active NPI

Clallam County Public Hospital District 2

Doing business as Olympic Medical Home Health

  • Home Health Agency
  • Port Angeles, WA
National Provider Identifier
1437259165
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IS-393 Issued in WA
Legal business name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
Olympic Medical Home Health
Practice address
801 E Front St
Port Angeles, WA 98362-3636
Phone
(360) 417-7315
Fax
(360) 452-3531
NPI assigned
Sep 23, 2006
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mr. Charles M Gregson
Title
Interim Ceo
Phone
(360) 417-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IS-393 WA Primary

Addresses

Primary practice location

801 E Front St
Port Angeles, WA 98362-3636

Mailing address

PO Box 24030
Seattle, WA 98124-0030
Phone (360) 417-7000

Other identifiers 2

IdentifierTypeStateIssuer
109487OtherWALABOR & INDUSTRIES/HH
9039363MedicaidWA

Other names 1

  • Olympic Medical 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
O20050729001025 WA Part A Provider - Home Health Agency 1456265651 Practice locations: Port Angeles, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437259165. Details of each certification follow.

Home health agency certification: CCN 507072

Legal name
CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2
Doing business as
OLYMPIC MEDICAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 25, 1986
Last certification
Jan 15, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Incorporated
Nov 1, 1951 in WA
Enrollment address
801 E Front St
Port Angeles, WA 98362-3636

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Olympic Medical Home HealthCCN 507072 · All quality measures
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
Mar 25, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
50D0907457Olympic Medical Home Health801 E Front St, Port Angeles, WA 98362Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Olympic Memorial Hosp2 organizations share this tax ID, including this one
Part of
Olympic Memorial Hosp

Other organizations with this tax ID 1

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

Locations

321 N Chambers St
Port Angeles, WA 98362
Phone (360) 417-7324

801 E Front St
Port Angeles, WA 98362
Phone (360) 417-7315

907 Georgiana St
Port Angeles, WA 98362
Phone (360) 565-0550

923 Georgiana St
Port Angeles, WA 98362
Phone (360) 457-4496

927 Georgiana St
Port Angeles, WA 98362

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

777 N 5th Ave
Ste 106
Sequim, WA 98382
Phone (360) 582-4200

800 N 5th Ave
Ste 102
Sequim, WA 98382
Phone (360) 582-2601

840 N 5th Ave
Ste 1100
Sequim, WA 98382
Phone (360) 565-9003

840 N 5th Ave
Ste 1200
Sequim, WA 98382
Phone (360) 582-5550

840 N 5th Ave
Ste 206
Sequim, WA 98382
Phone (360) 417-7125

840 N 5th Ave
Ste 2200
Sequim, WA 98382

844 N 5th Ave
Sequim, WA 98382
Phone (360) 683-9895

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Clallam County Public Hospital District 2 Organization, Port Angeles, WA 5% Or Greater Direct Ownership Interest Feb 28, 1995 100%
Cheryl L Sifford Individual Corporate DirectorInterim Home Health Director Nov 10, 2025 100%
Dennis Stillman Individual Corporate OfficerInterim Cfo Sep 11, 2025
Charles Mark Gregson Individual Corporate OfficerInterim Ceo Aug 20, 2025
Stacy L Nikodym Individual W-2 Managing EmployeeCredentialing, Contracting, and Dec 6, 2017

Owners & managing parties with NPI records 1

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

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.

Practitioners & affiliated clinicians

Practitioners 163

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.

View all 163

Affiliated clinicians 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1437259165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24030",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240030",
            "telephone_number": "360-417-7000",
            "fax_number": "360-452-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623636",
            "telephone_number": "360-417-7315",
            "fax_number": "360-452-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT 2",
        "enumeration_date": "2006-09-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GREGSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "360-417-7705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IS-393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES/HH",
            "identifier": "109487",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9039363",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Medical Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympic Medical Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.