NPIMap

Organization Active NPI

Soundview Rehabilitation and Health Care, Inc.

Doing business as Shuksan Rehabilitation and Health Care

  • Skilled Nursing Facility
  • Anacortes, WA
National Provider Identifier
1487293585
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUNDVIEW REHABILITATION AND HEALTH CARE, INC.
Doing business as
Shuksan Rehabilitation and Health Care
Soundview Rehabilitation and Health Care
Practice address
1105 27TH St
Anacortes, WA 98221-2710
Phone
(360) 293-3174
Fax
(360) 293-4418
NPI assigned
Jan 6, 2020
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dean Alan MyersNPI 1104961408
Title
VP of Clinical Services
Phone
(360) 293-3174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1105 27TH St
Anacortes, WA 98221-2710

Mailing address

1105 27TH St
Anacortes, WA 98221-2710
Phone (360) 293-3174

Other practice location 1

1530 James St
Bellingham, WA 98225-4945
Phone (360) 733-9161

Other identifiers 2

IdentifierTypeStateIssuer
4115911MedicaidWA
4115901MedicaidWA

Other names 2

  • Shuksan Rehabilitation and Health Care Doing business as
  • Soundview Rehabilitation and Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200228002040 WA Part A Provider - Skilled Nursing Facility 8426485541 Practice locations: Anacortes, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487293585. Details of each certification follow.

Skilled nursing facility certification: CCN 505216

Legal name
SOUNDVIEW REHABILITATION AND HEALTH CARE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 27, 1978
Last certification
May 29, 2024
Beds
44
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 3, 2019 in WA
Enrollment address
1105 27TH St
Anacortes, WA 98221-2710

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: Nursing home

Medicare Care Compare
Listed as
Soundview Rehabilitation and Health Care IncCCN 505216 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 27, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4437.1 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
50D1052557Soundview Rehabilitation and Health Care1105 27TH St, Anacortes, WA 98221Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Shuksan Rehabilitation and Health Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

601 W Walnut St
Yakima, WA 98902

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.

NameRoleSinceShare
Jeffrey Norman Hyatt Individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 100%
Corporate OfficerCeo Dec 1, 2019 100%
Corporate DirectorCeo Dec 1, 2019
W-2 Managing EmployeeCeo Aug 31, 2019 100%
Operational/Managerial Control Dec 1, 2019
Hyatt Family Facilities LLC Organization, Yakima, WA LLC, Management services company, For-profit Operational/Managerial Control Aug 31, 2019
Heidi M Berk Individual W-2 Managing EmployeeAccounting Manager Aug 31, 2019
Avventura Senior Living Inc Organization, Yakima, WA Management services company, For-profit Operational/Managerial Control Aug 31, 2019

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 2

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": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1487293585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-293-3174",
            "fax_number": "360-293-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 27TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212710",
            "telephone_number": "360-293-3174",
            "fax_number": "360-293-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 James St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254945",
            "country_code": "US",
            "telephone_number": "360-733-9161",
            "fax_number": "360-715-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUNDVIEW REHABILITATION AND HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "VP OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "360-293-3174"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115911",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shuksan Rehabilitation and Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shuksan Rehabilitation and Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soundview Rehabilitation and Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.