Active NPI
4755 South 48TH Street Operations LLC
Doing business as Orchard Park Health Care and Rehabilitation Center
- Skilled Nursing Facility
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1531
- Legal business name
- 4755 SOUTH 48TH STREET OPERATIONS LLC
- Doing business as
- Orchard Park Health Care and Rehabilitation Center
- Practice address
- 4755 S 48TH St
Tacoma, WA 98409-1919 - Phone
- (253) 475-6600
- Fax
- (253) 475-6611
- NPI assigned
- Jul 19, 2015
- Last updated
- Mar 11, 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
- Avrohom Tress
- Title
- Officer
- Phone
- (760) 445-0699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1531 | WA | Primary |
Addresses
Primary practice location
4755 S 48TH St
Tacoma, WA 98409-1919
Mailing address
4755 S 48TH St
Tacoma, WA 98409-1919
Phone (253) 475-6600
Other names 1
- Orchard Park Health Care and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151222000305 | WA | Part A Provider - Skilled Nursing Facility | 9234430950 | Practice locations: Tacoma, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649654617. Details of each certification follow.
Skilled nursing facility certification: CCN 505093
- Legal name
- 4755 SOUTH 48TH STREET OPERATIONS LLC
- Doing business as
- ORCHARD PARK HEALTH CARE & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1970
- Last certification
- Jun 12, 2025
- Beds
- 147
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- BQ Operations Holdings LLC
- Organization structure
- LLC
- Incorporated
- Jul 6, 2015 in WA
- Enrollment address
- 4755 S 48TH St
Tacoma, WA 98409-1919 - Nursing home name
- ORCHARD PARK HEALTH CARE & REHAB CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Orchard Park Health Care & Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 1970
- Medicare certification status
- Active
- Certified beds
- 147
- Chain
- Genesis Healthcare
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 14% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Dec 6, 2015 | 100% |
| Bold Quail Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 100% |
| BQ Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Sep 30, 2021 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 100% |
| Newgen LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 100% |
| GHC JV Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 100% |
| Summit Care Parent LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 5.81% |
| Avrohom L Tress | Corporate Officer | Jan 1, 2020 | 100% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 100% |
| Operational/Managerial Control | Dec 1, 2015 | ||
| Michael S Sherman | Corporate Officer | Dec 1, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 52.24% |
| Gen BQ JV Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 50% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Jul 6, 2015 | 8.1% |
| Michael T Berg | Contracted Managing Employee | Jan 1, 2020 | 100% |
| Corporate Officer | Dec 1, 2015 | 100% | |
| Operational/Managerial Control | Dec 1, 2015 | 100% | |
| Aaron H Robin | Corporate Officer | Jan 1, 2020 | 100% |
| Welltower Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 5.9% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 100% |
Facilities with the same owner 195
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Linden Grove Health Care Center
- Skilled Nursing Facility
- Puyallup, WA
- NPI 1790160604
Bold Quail Holdings LLC, BQ Operations Holdings LLC, Newgen LLC
-
dba Montesano Health-Rehab Center
- Skilled Nursing Facility
- Montesano, WA
- NPI 1386028397
Bold Quail Holdings LLC, Newgen LLC
-
dba Ballard Center
- Skilled Nursing Facility
- Seattle, WA
- NPI 1285286559
Bold Quail Holdings LLC, BQ Operations Holdings LLC, Newgen LLC
-
dba Lake Ridge Solana Alzheimer's Care Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1568402295
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Inc, Zac Properties XI LLC
-
dba Columbia Crest Center
- Skilled Nursing Facility
- Moses Lake, WA
- NPI 1982651758
Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sundance Rehabilitation Holdco Inc, Welltower Inc, Zac Properties XI LLC
-
dba Everett Center
- Skilled Nursing Facility
- Everett, WA
- NPI 1851348460
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac Properties XI LLC
-
dba Marmet Center
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Abbeyville Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Grandview Center
- Skilled Nursing Facility
- Cumberland, RI
- NPI 1891977625
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Dallastown Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Dallastown, PA
- NPI 1336859040
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Valley Center
- Skilled Nursing Facility
- South Charleston, WV
- NPI 1558545749
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
-
dba Jersey Shore Skilled Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Jersey Shore, PA
- NPI 1063122778
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Zac P
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1336678382
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1679548531
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1124097811
-
- Geriatric Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1720344617
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": "1437264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1649654617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 S 48TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984091919",
"telephone_number": "253-475-6600",
"fax_number": "253-475-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 S 48TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984091919",
"telephone_number": "253-475-6600",
"fax_number": "253-475-6611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "4755 SOUTH 48TH STREET OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-19",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "TRESS",
"authorized_official_first_name": "AVROHOM",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "760-445-0699"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WA",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orchard Park Health Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tacoma, WA
- 1 Warner Home Afh, LLC
- 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1436)
- 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1978)
- 2 Hands Studio, LCC
- 6TH Avenue Senior Living, LLC
- A Better Type of Homecare
- A Change Counseling Center
- A Change Counseling Center Inc.
- A Communication Space PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.