NPIMap

Organization Active NPI

Willapa Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Raymond, WA
National Provider Identifier
1437869492
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILLAPA NURSING & REHAB LLC
Practice address
1100 Jackson Ave
Raymond, WA 98577-3308
Phone
(360) 942-2424
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Raphael Oscherowitz
Title
Manager
Phone
(253) 251-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1100 Jackson Ave
Raymond, WA 98577-3308

Mailing address

3220 Rosedale St Ste 200
Gig Harbor, WA 98335-1837
Phone (253) 251-9300

Other names 1

  • Willapa Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622003216 WA Part A Provider - Skilled Nursing Facility 5698133643 Practice locations: Raymond, WA

Skilled nursing facility certification: CCN 505349

Legal name
WILLAPA NURSING & REHAB LLC
Doing business as
WILLAPA HARBOR CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1989
Last certification
Jul 24, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Caldera Care
Organization structure
LLCProprietary
Incorporated
Dec 5, 2022 in WA
Enrollment address
1100 Jackson Ave
Raymond, WA 98577-3308
Nursing home name
WILLAPA HARBOR CARE
Affiliated entity
CALDERA CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willapa Harbor CareCCN 505349
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6046.8 residents per day on average
Chain
Caldera Care6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Chaim Wolmark Individual 5% Or Greater Indirect Ownership Interest Mar 20, 2023 50%
Corporate OfficerManager Mar 20, 2023
W-2 Managing EmployeeManager Mar 20, 2023
Rop Care Ajh LLC Organization, Hollywood, FL LLC 5% Or Greater Indirect Ownership Interest Mar 20, 2023 50%
Tashina Goettel Individual W-2 Managing EmployeeAdministrator Mar 20, 2023
Rop Opco Holdings, LLC Organization, Gig Harbor, WA LLC 5% Or Greater Indirect Ownership Interest Mar 20, 2023 50%
Washington 3 Pack LLC Organization, Gig Harbor, WA LLC 5% Or Greater Direct Ownership Interest Mar 20, 2023 100%
Raphael Oscherowitz Individual 5% Or Greater Indirect Ownership Interest Mar 20, 2023 25%
Asher Handler Individual 5% Or Greater Indirect Ownership Interest Mar 20, 2023 50%

Practitioners & affiliated clinicians

Practitioners 3

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1437869492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351837",
            "telephone_number": "253-251-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JACKSON AVE",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985773308",
            "telephone_number": "360-942-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAPA NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "OSCHEROWITZ",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-251-9300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willapa Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raymond, WA

Sources for this page

Verify at the official NPI Registry.