NPIMap

Organization Active NPI

Symbol Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Tacoma, WA
National Provider Identifier
1578287058
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SYMBOL HEALTHCARE, INC.
Practice address
4002 Tacoma Mall Blvd Ste 204
Tacoma, WA 98409-7702
Phone
(253) 581-9410
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4002 Tacoma Mall Blvd Ste 204
Tacoma, WA 98409-7702

Mailing address

4002 Tacoma Mall Blvd Ste 204
Tacoma, WA 98409-7702
Phone (253) 581-9410

Other practice location 1

14400 NE 145th St
Woodinville, WA 98072-5034
Phone (253) 581-9410

Other names 1

  • Puget Sound Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221012000920 WA Part A Provider - Hospice 9931354883 Practice locations: Tacoma, WA; Woodinville, WA

Hospice certification: CCN 501550

Legal name
SYMBOL HEALTHCARE, INC.
Doing business as
PUGET SOUND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 28, 2023
Last certification
Mar 28, 2023
Ownership / control type
Proprietary - Partnership
Organization structure
CorporationProprietary
Enrollment address
4002 Tacoma Mall Blvd
Ste 204
Tacoma, WA 98409-7702

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Puget Sound HospiceCCN 501550
Certified
Mar 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Puget Sound Hospice5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Devin Rothwell Individual W-2 Managing EmployeeAdministrator Oct 6, 2022
Paragon Healthcare, Inc. Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 8, 2022 100%
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 8, 2022 100%
Stanley S.L. Ling Individual W-2 Managing EmployeeMD; May 1, 2025
Michael Magette Individual Corporate OfficerTreasurer Sep 26, 2024
Brian W. Wayment Individual Corporate OfficerPresident Nov 17, 2021
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 8, 2022 100%
John J Gochnour Individual Corporate DirectorDirector Sep 26, 2024
Amber Tueller Individual Corporate OfficerSecretary Sep 26, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1578287058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TACOMA MALL BLVD STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097702",
            "telephone_number": "253-581-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 TACOMA MALL BLVD STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097702",
            "telephone_number": "253-581-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14400 NE 145th St",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980725034",
            "country_code": "US",
            "telephone_number": "253-581-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYMBOL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.