Organization Active NPI

Canterbury SNF Operations, LLC

Doing business as Canterbury House

  • Skilled Nursing Facility
  • Auburn, WA
National Provider Identifier
1679287841
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CANTERBURY SNF OPERATIONS, LLC
Doing business as
Canterbury House
Practice address
502 29TH St SE
Auburn, WA 98002-7532
Phone
(253) 939-0090
NPI assigned
Jan 11, 2023
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Yitzchok Yenowitz
Title
Authorized Representative
Phone
(323) 333-0910

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Registered Respiratory Therapist 227900000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

502 29TH St SE
Auburn, WA 98002-7532

Mailing address

1777 Avenue of the States Ste 102
Lakewood, NJ 08701-4779
Phone (732) 366-8300

Other names 1

  • Canterbury House Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001909 WA Part A Provider - Skilled Nursing Facility 1951768506 Practice locations: Auburn, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679287841. Details of each certification follow.

Skilled nursing facility certification: CCN 505344

Legal name
CANTERBURY SNF OPERATIONS LLC
Doing business as
CANTERBURY HOUSE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 17, 1989
Last certification
Oct 4, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Evergreen Healthcare
Organization structure
LLCProprietary
Enrollment address
502 29TH St SE
Auburn, WA 98002-7532
Nursing home name
CANTERBURY HOUSE
Affiliated entity
EVERGREEN HEALTHCARE GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Canterbury HouseCCN 505344 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 17, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10085.3 residents per day on average
Chain
Evergreen Healthcare Group44 facilities in the chain
Penalties (3 years)
1Fines totaling $68,159

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Robert Wright Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Individual Indirect Ownership Interest Aug 31, 2023 3%
Witzcorp Global LLC Organization, Lakewood, NJ LLC Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Pacific Northwest SNF Operations Holdings LLC Organization, Lakewood, NJ Holding company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 100%
Couve Healthcare Consulting LLC Organization, Lakewood, NJ LLC, Consulting firm, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 14, 2025
Mary Pierce Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Marissa Bayhon Individual Managing Control - Governing BodyDdco Aug 31, 2023
Adp of the SNF Aug 31, 2023
Couve Financial Services LLC Organization, Vancouver, WA LLC, For-profit, Chain home office Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 14, 2025
Organization, Lakewood, NJ LLC, For-profit Adp of the SNF Aug 31, 2023
Pacific Northwest SNF Operations Holdings (Wa) LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Aug 31, 2023 100%
Pacific Northwest Opco Management LLC Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 14, 2025
Washington SNF Consulting LLC Organization, Vancouver, WA LLC, Consulting firm, For-profit Operational/Managerial Control Aug 31, 2023
Adp of the SNF Apr 14, 2025
Organization, Lakewood, NJ Indirect Ownership Interest Aug 31, 2023 2.25%
Individual Indirect Ownership Interest Aug 31, 2023 1%
Yitzchok Yenowitz Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 25%
Yisroel E Herzka Individual Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 66.5%
Organization, Lakewood, NJ LLC, Private equity company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 1%
Shimon Spielman Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023
Organization, Lakewood, NJ LLC, Private equity company, Owned by another organization or individual Indirect Ownership Interest Aug 31, 2023 3%
Jason Odenthal Individual Operational/Managerial Control Aug 31, 2023
Managing Control - Governing BodyDivisional Director of Operations Aug 31, 2023
Adp of the SNF Aug 31, 2023
CH Pacific Northwest Holdings LLC Organization, Lakewood, NJ LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 31, 2023 66.5%
Adp of the SNF Aug 31, 2023
Indirect Ownership Interest Aug 31, 2023 66.5%
Leonico G Panlasigui Individual Operational/Managerial Control Aug 31, 2023
Adp of the SNF Aug 31, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 51

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

View all 51

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.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1679287841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AVENUE OF THE STATES STE 102",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014779",
            "telephone_number": "732-366-8300",
            "fax_number": "732-523-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 29TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027532",
            "telephone_number": "253-939-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERBURY SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "YENOWITZ",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "323-333-0910"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canterbury House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canterbury House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.