NPIMap

Organization Active NPI

Central Washington Health Services Association

  • Community Based Hospice Care Agency
  • Wenatchee, WA
National Provider Identifier
1508978388
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS-250 Issued in WA
Legal business name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Practice address
731 N Chelan Ave
Wenatchee, WA 98801-2026
Phone
(509) 662-1511
NPI assigned
Aug 31, 2006
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Andrew Jones
Title
Cfo
Phone
(509) 663-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS-250 WA Primary

Addresses

Primary practice location

731 N Chelan Ave
Wenatchee, WA 98801-2026

Mailing address

1201 S Miller St
Wenatchee, WA 98801-3201

Other identifiers 3

IdentifierTypeStateIssuer
0082733OtherWAHOSPICE L&I
1508978388MedicaidWA
021OtherWAHOSPICE PREMERA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107001028 WA Part A Provider - Hospice 4880504596 Practice locations: Wenatchee, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508978388. Details of each certification follow.

Hospice certification: CCN 501516

Legal name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Doing business as
CENTRAL WASHINGTON HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 2, 1987
Last certification
Oct 20, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Enrollment address
731 N Chelan Ave
Wenatchee, WA 98801-2026

Other NPIs with the same Medicare PAC ID 24

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

View all 24

Care Compare: Hospice

Medicare Care Compare
Listed as
Central Washington Hospital Homecare ServicesCCN 501516 · All quality measures
Ownership
Non-Profit
Certified
Dec 2, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Central Wa Health SVCS24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jeffrey Neher Individual Operational/Managerial ControlBoard of Directors Apr 1, 2024
Lauren Weber Individual Corporate Director Dec 1, 2023
Jennifer E Jorgensen Individual Corporate Director Apr 1, 2021
Douglas Shae Individual Corporate Director May 1, 2017
David Balcom Individual Corporate Director Oct 1, 2022
Vicky Scharlau Individual Corporate Director Jun 1, 2020
Andrew D Jones Individual Corporate OfficerCeo Aug 1, 2022
W-2 Managing EmployeeCeo Aug 1, 2022
Eric J Caldwell Individual Corporate DirectorVP Finance Dec 16, 2024
W-2 Managing Employee Dec 16, 2024
Corinne Bautista Individual Corporate Director Aug 1, 2020
Robert Hamilton Individual Corporate Director Aug 1, 2021
Daniel J Kerr Individual Corporate Director Aug 1, 2023
Brianna Keith Individual Corporate Director Mar 1, 2024
W-2 Managing Employee Mar 1, 2024
Luther Thompson Individual Corporate OfficerBoard of Directors Apr 1, 2024
Confluence Health Organization, Wenatchee, WA Non-profit 5% Or Greater Direct Ownership Interest Jul 21, 2013 100%
Operational/Managerial Control Jul 21, 2013 100%
Ensi Voshtina Individual Corporate DirectorBod Feb 1, 2025
Abraham James Sorom Individual Corporate Director Feb 1, 2019
Garn Christensen Individual Corporate Director May 1, 2018
Vanessa Gutierrez Individual Corporate Director Aug 1, 2022
Gus Heinicke Individual Corporate Director May 1, 2017

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Washington Health ServicesWenatchee, WA, CCN 507029 Home health agency Operational/Managerial Control Jul 21, 2013
Confluence Health Tonasket ClinicTonasket, WA, CCN 503932 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Oroville ClinicOroville, WA, CCN 503936 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Moses Lake ClinicMoses Lake, WA, CCN 503934 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Wenatchee ClinicWenatchee, WA, CCN 503938 Rural health clinic Operational/Managerial Control Jul 1, 2013
Confluence Health Ephrata ClinicEphrata, WA, CCN 503927 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Waterville ClinicWaterville, WA, CCN 503937 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Brewster ClinicBrewster, WA, CCN 503920 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Cashmere ClinicCashmere, WA, CCN 503933 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Omak ClinicOmak, WA, CCN 503935 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health E Wenatchee ClinicE Wenatchee, WA, CCN 503931 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Royal City ClinicRoyal City, WA, CCN 503854 Rural health clinic Operational/Managerial Control Jul 13, 2013

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1508978388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012026",
            "telephone_number": "509-662-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-663-8711"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS-250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE L&I",
            "identifier": "0082733",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508978388",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE PREMERA",
            "identifier": "021",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.