State of Washington, Washington Veterans Homes

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

STATE OF WASHINGTON, WASHINGTON VETERANS HOMES

Doing business as

WA Veterans Home

Practice address

1141 Beach Dr E
Port Orchard, WA 98366-4937

Phone

(360) 895-4700

Fax

(360) 895-4453

NPI assigned

Oct 27, 2005

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Westhoff

Title

Cfo

Phone

(360) 725-2152

Specialties & licenses 7

Addresses

Other identifiers 3

Other names 1

• WA Veterans Home Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538159702. Details of each certification follow.

• CCN 505517 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 505517

Legal name

STATE OF WASHINGTON, WASHINGTON VETERANS HOMES

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 2007

Last certification

Apr 28, 2025

Beds

240

Ownership / control type

State

Multi-facility organization

Washington Department of Veterans Affairs

Organization structure

OtherNon-profit

Enrollment address

1141 Beach Dr E
Port Orchard, WA 98366-4937

Nursing home name

WASHINGTON VETERAN HOME-RETSIL

Listed as

Washington Veteran Home-RetsilCCN 505517 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - State

Certified

Mar 1, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

240231.6 residents per day on average

Penalties (3 years)

2Fines totaling $23,920

Processed by Care Compare on Aug 1, 2026.

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.

Owners & managing parties with NPI records 1

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

• Aaron Tzupeng Fang, M.D.

  • Hospitalist Physician
  • Renton, WA
  • NPI 1003130030

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

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

• Department of Veterans Affairs Spokane Veterans Home

  dba Spokane Veterans Home

  • Skilled Nursing Facility
  • Spokane, WA
  • NPI 1851381032

  Washington State Department of Vete

  CMS ownership
• State of Washington Washington Soldiers Home

  • Skilled Nursing Facility
  • Orting, WA
  • NPI 1972594810

  Washington State Department of Vete

  CMS ownership
• Washington State Walla Walla Veterans Home

  • Skilled Nursing Facility
  • Walla Walla, WA
  • NPI 1548627011

  Washington State Department of Vete

  CMS ownership

Practitioners 2

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.

• Aaron Tzupeng Fang, M.D.

  • Hospitalist Physician
  • Renton, WA
  • NPI 1003130030
  NPD (past)
• Jessica C Schlicher, MD

  • Family Medicine Physician
  • Port Orchard, WA
  • NPI 1073648481
  NPD (past)

Affiliated clinicians 2

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

• Aaron Tzupeng Fang, M.D.

  • Hospitalist Physician
  • Renton, WA
  • NPI 1003130030

  Nursing home

  Care Compare affiliation
• Jessica C Schlicher, MD

  • Family Medicine Physician
  • Port Orchard, WA
  • NPI 1073648481

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1538159702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BEACH DR E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664937",
            "telephone_number": "360-895-4700",
            "fax_number": "360-895-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BEACH DR E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664937",
            "telephone_number": "360-895-4700",
            "fax_number": "360-895-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF WASHINGTON, WASHINGTON VETERANS HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "WESTHOFF",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-725-2152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NOT APPLICABLE",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "50-5517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102411",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WA Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WA Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.

Verify at the official NPI Registry.