Organization Active NPI

Willow Springs Care

Doing business as Willow Springs Care and Rehabilitation

  • Skilled Nursing Facility
  • Yakima, WA
National Provider Identifier
1609835990
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1392 Issued in WA
Legal business name
WILLOW SPRINGS CARE
Doing business as
Willow Springs Care and Rehabilitation
Practice address
4007 Tieton Drive
Yakima, WA 98908-3345
Phone
(509) 966-4500
Fax
(509) 966-1187
NPI assigned
Mar 23, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dean Alan Myers
Title
Coo
Phone
(509) 834-4023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1392 WA Primary

Addresses

Primary practice location

4007 Tieton Drive
Yakima, WA 98908-3345

Mailing address

4007 Tieton Dr
Yakima, WA 98908-3345
Phone (509) 966-4500

Other identifiers 1

IdentifierTypeStateIssuer
1014388MedicaidWA

Other names 1

  • Willow Springs Care and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111101000640 WA Part A Provider - Skilled Nursing Facility 5597787747 Practice locations: Yakima, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609835990. Details of each certification follow.

Skilled nursing facility certification: CCN 505367

Legal name
WILLOW SPRINGS CARE
Doing business as
WILLOW SPRINGS CARE AND REHABLITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1990
Last certification
Sep 10, 2024
Beds
75
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 14, 2005 in WA
Enrollment address
4007 Tieton Drive
Yakima, WA 98908-3345
Nursing home name
WILLOW SPRINGS CARE AND REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willow Springs Care and RehabilitationCCN 505367 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7558.4 residents per day on average

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
50D0638510Willow Springs Care4007 Tieton Dr, Yakima, WA 98908Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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 Feb 1, 2006 49%
Michael Cleveland Individual Corporate DirectorAdministrator Jan 1, 2017
Hyatt Family Facilities LLC Organization, Yakima, WA Corporation 5% Or Greater Direct Ownership Interest Feb 1, 2006 100%
Norman Randall Hyatt Individual 5% Or Greater Direct Ownership Interest Feb 1, 2006 57%
Heidi M Berk Individual W-2 Managing EmployeeExecutive Assistant Nov 1, 2012
Rebecca J Repp Individual W-2 Managing EmployeeBusiness Office Manager Oct 13, 2011

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1609835990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083345",
            "telephone_number": "509-966-4500",
            "fax_number": "509-966-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 TIETON DRIVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083345",
            "telephone_number": "509-966-4500",
            "fax_number": "509-966-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPRINGS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-834-4023"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014388",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Springs Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.