Active NPI
Willapa Harbor Care LLC
- Skilled Nursing Facility
- Raymond, WA
National Provider Identifier
1649077934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WILLAPA HARBOR CARE LLC
- Practice address
- 1100 Jackson Ave
Raymond, WA 98577-3308 - Phone
- (360) 942-2424
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raphael Oscherowitz
- Title
- Manager
- Phone
- (253) 251-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1100 Jackson Ave
Raymond, WA 98577-3308
Mailing address
3220 Rosedale St Ste 200
Gig Harbor, WA 98335-1837
Other names 1
- WILLAPA HARBOR CARE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1336678382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1649077934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 ROSEDALE ST STE 200",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JACKSON AVE",
"city": "RAYMOND",
"state": "WA",
"postal_code": "985773308",
"telephone_number": "360-942-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLAPA HARBOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "OSCHEROWITZ",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "253-251-9300"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WILLAPA HARBOR CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raymond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.