Active NPI
Ashley House
- Pediatric Skilled Nursing Facility
- Tacoma, WA
National Provider Identifier
1457575151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- ASHLEY HOUSE
- Practice address
- 1810 Browns Point Blvd NE
Tacoma, WA 98422-2372 - Phone
- (253) 952-0503
- NPI assigned
- Apr 12, 2007
- Organization subpart
- Yes
- Parent organization
- ASHLEY HOUSE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Owens
- Title
- Executive Director
- Phone
- (253) 533-9050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | Primary |
Addresses
Primary practice location
1810 Browns Point Blvd NE
Tacoma, WA 98422-2372
Mailing address
33811 9TH Ave S
Federal Way, WA 98003-6707
Phone (253) 533-9050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9030560 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240701003748 | WA | Part A Provider - Skilled Nursing Facility | 2365851136 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Shoreline, WA |
Skilled nursing facility certification: CCN 505535
- Legal name
- ASHLEY HOUSE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 30, 2024
- Last certification
- Aug 8, 2024
- Beds
- 12
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 10, 1988 in WA
- Enrollment address
- 18904 Burke Ave N
Shoreline, WA 98133-4213 - Nursing home name
- BRIDGES TO HOME
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Nursing Facility/Intermediate Care Facility
- Shoreline, WA
- NPI 1427643071
O20240701003748
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bridges To Home
- Overall star rating
- Health inspections
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 30, 2024
- Medicare certification status
- Active
- Certified beds
- 12
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Part of
- Ashley House
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jefferson J Henson | W-2 Managing Employee | Jun 15, 2022 | |
| Ken Maaz | Corporate Officer | Sep 11, 2024 | |
| Operational/Managerial Control | Sep 12, 2012 | ||
| Stephen Freeborn | Corporate Officer | Jan 1, 1991 | |
| Cindy Grady | Corporate Officer | Sep 1, 2011 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1457575151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33811 9TH AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036707",
"telephone_number": "253-533-9050",
"fax_number": "253-517-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 BROWNS POINT BLVD NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222372",
"telephone_number": "253-952-0503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLEY HOUSE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASHLEY HOUSE",
"enumeration_date": "2007-04-12",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "253-533-9050"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9030560",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.