NPIMap

Organization Active NPI

Caresouth HHA Holdings of Washington, LLC

  • Community Based Hospice Care Agency
  • Omak, WA
National Provider Identifier
1609467299
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC
Practice address
800 Jasmine St Ste 2
Omak, WA 98841-9501
Phone
(509) 422-8621
Fax
(509) 388-2183
NPI assigned
Jan 27, 2021
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

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

Addresses

Primary practice location

800 Jasmine St Ste 2
Omak, WA 98841-9501

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.WA.OMH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210927000841 WA Part A Provider - Hospice 3173611803 Practice locations: Omak, WA

Hospice certification: CCN 501536

Legal name
CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 19, 2000
Last certification
Dec 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
800 Jasmine St
Ste 2
Omak, WA 98841-9501

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
Encompass Health HospiceCCN 501536
Ownership
For-Profit
Certified
Sep 19, 2000
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Caresouth HHA Holdings of Washington LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.wa.omh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Caresouth HHA Holdings, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 7.8%
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Offi Jun 1, 2021
Operational/Managerial ControlPresident, & Ceo; Chain Home Off Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 22, 2023
Julie D Jolley Individual Corporate OfficerExecutive Vice President of Home Jun 4, 2021
Jennifer K Thill Individual Contracted Managing EmployeeMD; Jun 1, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel, Secretary, Ao Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate OfficerExecutive Vice President of Hosp Jul 1, 2022
Caresouth Health System Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Amy Mansfield Individual W-2 Managing EmployeeAd; Dec 19, 2023
Ryan T Solomon Individual Corporate OfficerCfo and Ao Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

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 196

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

View all 196

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2021 Change of OwnershipThis provider was the buyer Frontier Home Health and Hospice, LLCCCN 501536, WA, NPI 1619219714

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1609467299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JASMINE ST STE 2",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419501",
            "telephone_number": "509-422-8621",
            "fax_number": "509-388-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF WASHINGTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.WA.OMH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "800 Jasmine St Ste 2",
            "city": "Omak",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988419501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.