NPIMap

Organization Active NPI

Yakima Valley Memorial Hospital Association

Doing business as Memorial Home Care Services

  • Community Based Hospice Care Agency
  • Yakima, WA
National Provider Identifier
1619919610
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
IS-376 Issued in WA
Legal business name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Memorial Home Care Services
Practice address
302 S 10TH Ave
Yakima, WA 98902-3521
Phone
(509) 746-3800
NPI assigned
Jun 12, 2006
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IS-376 WA Primary

Addresses

Primary practice location

302 S 10TH Ave
Yakima, WA 98902-3521

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Other identifiers 2

IdentifierTypeStateIssuer
501531OtherWAMEDICARE PROVIDER NUMBER
1044964MedicaidWA

Other names 1

  • Memorial Home Care Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000480 WA Part A Provider - Hospice 5698661890 Practice locations: Yakima, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619919610. Details of each certification follow.

Hospice certification: CCN 501531

Legal name
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MEMORIAL HOME CARE / HOSPICE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 1995
Last certification
Jul 30, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1994 in WA
Enrollment address
302 S 10TH Ave
Yakima, WA 98902-3521

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Memorial Home Care Services/Hospice ServicesCCN 501531 · All quality measures
Ownership
Non-Profit
Certified
Oct 26, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Yakima Valley Memorial Hosp10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1208 S 48th Ave
Yakima, WA 98908
Phone (509) 574-3600

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Stephen M Rupp Individual Corporate Director May 1, 2018
William G Robertson Individual Corporate OfficerCeo Dec 4, 2014
W-2 Managing EmployeeCeo Dec 4, 2014
Cynthia Juarez Individual Corporate Director Jun 26, 2019
Leslie Dale Sowell Individual Corporate Director Oct 1, 2012
Doug Ellison Individual Corporate Director Jan 1, 2023
Robert Yost Individual Corporate Director Sep 20, 2006
Maribel Jimenez Individual Corporate Officer Jan 1, 2018
John Wiborg Individual Corporate Director Apr 18, 2001
Tariq Salam Individual Corporate Director Nov 1, 2020
James Gyeong-Jin Lee Individual Corporate OfficerExec VP & Cfo Jun 1, 2022
W-2 Managing EmployeeExec VP & Cfo Jun 1, 2022
Tara Perry Individual Corporate Director Aug 25, 2021
Florence Chang Individual Corporate OfficerPresident Jan 1, 2015
W-2 Managing EmployeePresident Jan 1, 2015
Duane R Rossman Individual Corporate Director Jan 1, 2022
Robin J Thomashauer Individual Corporate Director Nov 1, 2020
Janine Terrano Individual Corporate Director Dec 4, 2014
Frank Tombari Individual Corporate Director Jan 28, 2022
Deedee Walkey Individual Corporate Director Oct 1, 2012
Yakima Valley Memorial Hospital Association Organization, Yakima, WA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Nov 20, 2007 100%
David Hargreaves Individual Corporate DirectorVice-Chairman Jan 1, 2016
Sally Leighton Individual Corporate Director Oct 1, 2012
Gail Weaver Individual Corporate DirectorBoard Member Jan 1, 2016
Multicare Health System Organization, Tacoma, WA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 17, 2023 100%
Patrick Oshie Individual Corporate Director Nov 1, 2021
Robert M Williams Individual Corporate Director Apr 19, 2022
Mirna Ramos-Diaz Individual Corporate Director Mar 1, 2022

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 4

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

FacilityTypeRoleSince
Yakima Valley MemorialYakima, WA, CCN 500036 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007
Yakima Valley Memorial Hospital AssociationYakima, WA, CCN 50S036 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 20, 2007
Garden VillageYakima, WA, CCN 505010 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Memorial Home Care ServicesYakima, WA, CCN 507028 Home health agency 5% Or Greater Direct Ownership Interest Apr 1, 1994

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1619919610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 10TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023521",
            "telephone_number": "509-746-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WA",
            "license": "IS-376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "501531",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044964",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.