Organization Active NPI

Willapa Harbor Care LLC

  • Skilled Nursing Facility
  • Raymond, WA
National Provider Identifier
1649077934
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 25, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.